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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
Becker Ashley | Agent | 12836 JACOB GRACE COURT, WINDERMERE, FL, 34786 |
Name | Role | Address |
---|---|---|
BECKER GARTH GMD | Manager | 12836 JACOB GRACE COURT, WINDERMERE, FL, 34786 |
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 |
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