Entity Name: | GERIATRICS AND ADULT MEDICINE LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 18 Jun 2013 (12 years ago) |
Date of dissolution: | 28 Sep 2018 (6 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2018 (6 years ago) |
Document Number: | L13000087819 |
FEI/EIN Number | 46-2990110 |
Address: | 320 S STATE ROAD 7 STE 300, PLANTATION, FL 33317 |
Mail Address: | 320 S STATE ROAD 7 STE 300, PLANTATION, FL 33317 |
ZIP code: | 33317 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1669831558 | 2016-02-19 | 2016-05-27 | 320 S STATE ROAD 7, SUITE 300, PLANTATION, FL, 333173717, US | 320 S STATE ROAD 7, SUITE 300, PLANTATION, FL, 333173717, US | |||||||||||||||||||
|
Phone | +1 954-451-3241 |
Fax | 7542064332 |
Authorized person
Name | MR. JERRY OCHOA CIOCON |
Role | OWNER |
Phone | 9544513241 |
Taxonomy
Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
License Number | ME54854 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ciocon, jerry | Agent | 320 S STATE ROAD 7 STE 300, PLANTATION, FL 33317 |
Name | Role | Address |
---|---|---|
CIOCON, JERRY | Manager | 320 S. STATE ROAD 7, STE 300 PLANTATION, FL 33317 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
LC AMENDMENT | 2015-08-05 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2015-08-05 | 320 S STATE ROAD 7 STE 300, PLANTATION, FL 33317 | No data |
CHANGE OF MAILING ADDRESS | 2015-08-05 | 320 S STATE ROAD 7 STE 300, PLANTATION, FL 33317 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2015-08-05 | 320 S STATE ROAD 7 STE 300, PLANTATION, FL 33317 | No data |
REGISTERED AGENT NAME CHANGED | 2015-03-07 | ciocon, jerry | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2017-01-07 |
ANNUAL REPORT | 2016-03-28 |
LC Amendment | 2015-08-05 |
ANNUAL REPORT | 2015-03-07 |
ANNUAL REPORT | 2014-04-22 |
Florida Limited Liability | 2013-06-18 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State