| Entity Name: | GASTRO HEALTH SPECIALTY PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Oct 2014 (10 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 15 Feb 2019 (6 years ago) |
| Document Number: | L14000161661 |
| FEI/EIN Number | 47-2096096 |
| Address: | 9500 S. DADELAND BLVD., SUITE 200, MIAMI, FL, 33156, US |
| Mail Address: | 9500 S. DADELAND BLVD., SUITE 200, MIAMI, FL, 33156, US |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386148005 | 2018-03-19 | 2018-03-19 | 9500 S DADELAND BLVD, 200, MIAMI, FL, 331562866, US | 7500 SW 87TH AVENUE, 202, MIAMI, FL, 331733317, US | |||||||||||||||||||||||
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| Phone | +1 305-468-4185 |
| Fax | 3056753378 |
| Phone | +1 305-468-4199 |
Authorized person
| Name | JAMES LEAVITT |
| Role | PRESIDENT |
| Phone | 3059130666 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID NUMBER |
| Number | 015925600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CT Corporation System | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| GARCIA JOSEPH | Chief Executive Officer | 9500 S. DADELAND BLVD., MIAMI, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| Freni Lawrence | Chief Financial Officer | 9500 S. DADELAND BLVD., MIAMI, FL, 33156 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000105540 | GASTRO HEALTH PHARMACY | EXPIRED | 2014-10-17 | 2019-12-31 | No data | 9500 S. DADELAND BLVD., SUITE 802, MIAMI, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-01-31 | CT Corporation System | No data |
| LC STMNT OF RA/RO CHG | 2019-02-15 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-15 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-15 | 9500 S. DADELAND BLVD., SUITE 200, MIAMI, FL 33156 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-15 | 9500 S. DADELAND BLVD., SUITE 200, MIAMI, FL 33156 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-05-01 |
| CORLCRACHG | 2019-02-15 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
