| Entity Name: | GENESIS INTERNATIONAL MEDICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Feb 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L12000028001 |
| FEI/EIN Number | 454584714 |
| Address: | ADMIN OFFICE, 7529 TALL TREE COURT, PORT RICHEY, FL, 34668, US |
| Mail Address: | ADMIN OFFICE, 7529 TALL TREE COURT, PORT RICHEY, FL, 34668, US |
| ZIP code: | 34668 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750647780 | 2012-04-03 | 2012-05-07 | 7529 TALL TREE CT, PORT RICHEY, FL, 346685849, US | 323 W OAK ST, SUITE A, KISSIMMEE, FL, 347414421, US | |||||||||||||||||
|
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| Phone | +1 407-468-3075 |
Authorized person
| Name | DALE C NEWTON |
| Role | PRESIDENT/ MEDICAL DIRECTOR |
| Phone | 8133897682 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| License Number | ME50820 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHNSON ERNEST AJr. | Agent | 7529 Tall Tree Court, Port Richey, FL, 34668 |
| Name | Role | Address |
|---|---|---|
| JOHNSON ERNEST AJr. | Chief Executive Officer | 7529 TALL TREE COURT, PORT RICHEY, FL, 34668 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000062444 | RAPID MD+ | EXPIRED | 2016-06-24 | 2021-12-31 | No data | 38328 CROWN PLACE, LADY LAKE, FL, 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-30 | ADMIN OFFICE, 7529 TALL TREE COURT, PORT RICHEY, FL 34668 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-30 | ADMIN OFFICE, 7529 TALL TREE COURT, PORT RICHEY, FL 34668 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-18 | JOHNSON, ERNEST A, Jr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-30 | 7529 Tall Tree Court, Port Richey, FL 34668 | No data |
| LC AMENDMENT AND NAME CHANGE | 2012-08-16 | GENESIS INTERNATIONAL MEDICAL SERVICES, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-05-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
