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GB MEDICAL LLC

Company Details

Entity Name: GB MEDICAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Jul 2011 (14 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 01 May 2017 (8 years ago)
Document Number: L11000077894
FEI/EIN Number 452638007
Address: 12836 JACOB GRACE COURT, WINDERMERE, FL, 34786, US
Mail Address: 12836 JACOB GRACE COURT, WINDERMERE, FL, 34786, US
ZIP code: 34786
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922484872 2015-08-03 2015-08-03 1504 BAY RD, APT 2410, MIAMI BEACH, FL, 331393399, US 8216 WORLD CENTER DR, SUITE D, ORLANDO, FL, 328215412, US

Contacts

Phone +1 516-263-8742
Phone +1 321-932-1893

Authorized person

Name DR. GARTH G BECKER
Role OWNER
Phone 5162638742

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME100498
State FL
Is Primary Yes

Agent

Name Role Address
Becker Ashley Agent 12836 JACOB GRACE COURT, WINDERMERE, FL, 34786

Manager

Name Role Address
BECKER GARTH GMD Manager 12836 JACOB GRACE COURT, WINDERMERE, FL, 34786

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-06-09 12836 JACOB GRACE COURT, WINDERMERE, FL 34786 No data
CHANGE OF MAILING ADDRESS 2020-06-09 12836 JACOB GRACE COURT, WINDERMERE, FL 34786 No data
REGISTERED AGENT ADDRESS CHANGED 2020-06-09 12836 JACOB GRACE COURT, WINDERMERE, FL 34786 No data
REGISTERED AGENT NAME CHANGED 2019-04-25 Becker, Ashley No data
LC AMENDMENT 2017-05-01 No data No data
REINSTATEMENT 2014-03-19 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-04-06
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-03-16
LC Amendment 2017-05-01
ANNUAL REPORT 2017-03-27
ANNUAL REPORT 2016-03-14

Date of last update: 02 Feb 2025

Sources: Florida Department of State