| Entity Name: | GPSC MEDICAL CENTERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Dec 2014 (10 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L14000194974 |
| Address: | 123 NORTH KROME AVENUE, HOMESTEAD, FL, 33030 |
| Mail Address: | 123 NORTH KROME AVENUE, HOMESTEAD, FL, 33030 |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730577727 | 2014-12-29 | 2014-12-29 | 123 N KROME AVE, HOMESTEAD, FL, 330306008, US | 123 N KROME AVE, HOMESTEAD, FL, 330306008, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-753-6600 |
| Fax | 7866159581 |
Authorized person
| Name | DR. JULES A CADET |
| Role | PRESIDENT |
| Phone | 3057536600 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| License Number | ME 27293 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| License Number | ME 41852 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICARE IDENTIFICATION NUMBER |
| Number | 92970 |
| State | FL |
| Issuer | MEDICARE IDENTIFICATION NUMBER |
| Number | 96208 |
| State | FL |
| Issuer | MEDICAID |
| Number | 037315000 |
| State | FL |
| Issuer | MEDICAID |
| Number | 067559801 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BERANGER SHIRLEY RN | Agent | 123 NORTH KROME AVENUE, HOMESTEAD, FL, 33030 |
| Name | Role | Address |
|---|---|---|
| CADET JULES AMD | Manager | 123 NORTH KROME AVENUE, HOMESTEAD, FL, 33030 |
| GASTON PIERRE AMD | Manager | 123 NORTH KROME AVENUE, HOMESTEAD, FL, 33030 |
| BERANGER SHIRLEY RN | Manager | 123 NORTH KROME AVENUE, HOMESTEAD, FL, 33030 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2014-12-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
