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PHYSICAL MEDICINE ASSOCIATES OF GAINESVILLE, LLC

Company Details

Entity Name: PHYSICAL MEDICINE ASSOCIATES OF GAINESVILLE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Nov 2014 (10 years ago)
Document Number: L14000180861
FEI/EIN Number 47-2381036
Address: 3703 SW 13TH ST, GAINESVILLE, FL, 32608
Mail Address: 3703 SW 13TH ST, GAINESVILLE, FL, 32608
ZIP code: 32608
County: Alachua
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912397886 2015-01-30 2015-12-21 3703 SW 13TH ST, GAINESVILLE, FL, 326083507, US 3703 SW 13TH ST, GAINESVILLE, FL, 326083507, US

Contacts

Phone +1 352-378-7664
Fax 3523730111

Authorized person

Name MATTHEW J CLINE
Role OWNER
Phone 3523724110

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
CLINE MATTHEW J Agent 3703 SW 13TH ST, GAINESVILLE, FL, 32608

Manager

Name Role Address
Richeson Matthew Manager 3703 SW 13th St, Gainesville, FL, 32608
Cline Matt J Manager 3703 SW 13th St, GAINESVILLE, FL, 32608

Documents

Name Date
ANNUAL REPORT 2024-02-28
ANNUAL REPORT 2023-03-10
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-01-30
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-02-23
ANNUAL REPORT 2018-04-28
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-13
ANNUAL REPORT 2015-03-02

Date of last update: 01 Feb 2025

Sources: Florida Department of State