| Entity Name: | GAINESVILLE MEDICAL OBESITY SPECIALTY CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Mar 2016 (9 years ago) |
| Document Number: | L16000059073 |
| FEI/EIN Number | 811933763 |
| Address: | 6530 NW 11TH PLACE, GAINESVILLE, FL, 32605, US |
| Mail Address: | 6530 NW 11TH PLACE, GAINESVILLE, FL, 32605, US |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609316975 | 2017-03-06 | 2022-07-21 | 6830 NW 11TH PL, SUITE A, GAINESVILLE, FL, 326054254, US | 6830 NW 11TH PL, SUITE A, GAINESVILLE, FL, 326054254, US | |||||||||||||||||||||||||
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| Phone | +1 352-672-9000 |
| Fax | 3525058552 |
Authorized person
| Name | DR. CINDI LYNN LARIMER |
| Role | OWNER/MANAGER |
| Phone | 3526729000 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME0054910 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 062219200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LARIMER CINDI | Agent | 210 SW 86TH TERR., GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| LARIMER CINDI | Manager | 210 SW 86TH TERR., GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| Gilhooley Andrea L | Auth | 1607 River Birch Ave, Oveido, FL, 32765 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000051448 | GAINESVILLE MEDICAL WEIGHT LOSS | EXPIRED | 2018-04-24 | 2023-12-31 | No data | 6530 NW 11TH PLACE, SUITE A, GAINESVILLE, FL, 32605 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-10-31 | 6530 NW 11TH PLACE, SUITE A, GAINESVILLE, FL 32605 | No data |
| CHANGE OF MAILING ADDRESS | 2016-10-31 | 6530 NW 11TH PLACE, SUITE A, GAINESVILLE, FL 32605 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-01-25 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-04-27 |
| Florida Limited Liability | 2016-03-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
