Entity Name: | GAINESVILLE GERIATRIC REHABILITATION MEDICINE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 04 Aug 2016 (9 years ago) |
Document Number: | L16000146361 |
FEI/EIN Number | 81-3535010 |
Address: | 2234 NW 15th Avenue, GAINESVILLE, FL, 32605, US |
Mail Address: | 5200 NW 43RD STREET, SUITE 102, BOX 387, GAINESVILLE, FL, 32606 |
ZIP code: | 32605 |
County: | Alachua |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1750835211 | 2016-08-12 | 2016-08-12 | 5200 NW 43RD ST, SUITE 102/387, GAINESVILLE, FL, 326064484, US | 5002 NW 15TH PL, GAINESVILLE, FL, 326054555, US | |||||||||||||||||
|
Phone | +1 352-328-1529 |
Authorized person
Name | DR. JOHN F BRANDT |
Role | CEO |
Phone | 3525146476 |
Taxonomy
Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
License Number | L16000146361 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BRANDT JOHN F | Agent | 2234 NW 15th Avenue, GAINESVILLE, FL, 32605 |
Name | Role | Address |
---|---|---|
BRANDT JOHN F | Authorized Member | 2234 NW 15th Avenue, GAINESVILLE, FL, 32605 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-03-21 | 2234 NW 15th Avenue, GAINESVILLE, FL 32605 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-03-21 | 2234 NW 15th Avenue, GAINESVILLE, FL 32605 | No data |
REGISTERED AGENT NAME CHANGED | 2020-02-04 | BRANDT, JOHN F. | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-31 |
ANNUAL REPORT | 2023-04-08 |
ANNUAL REPORT | 2022-03-21 |
ANNUAL REPORT | 2021-03-18 |
ANNUAL REPORT | 2020-02-04 |
ANNUAL REPORT | 2019-02-14 |
ANNUAL REPORT | 2018-03-10 |
ANNUAL REPORT | 2017-02-19 |
Florida Limited Liability | 2016-08-04 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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8563917301 | 2020-05-01 | 0491 | PPP | 5200 NW 43RD ST SUITE 102 BOX 387, GAINESVILLE, FL, 32606 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State