| Entity Name: | JEAN GERIATRICS, PLLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jul 2018 (7 years ago) |
| Document Number: | L18000162244 |
| FEI/EIN Number | 83-1190198 |
| Mail Address: | 23478 ROCKET AVE, PORT CHARLOTTE, FL, 33954, US |
| Address: | 3450 ROWLAND DRIVE, PORT CHARLOTTE, FL, 33980, US |
| ZIP code: | 33980 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | JEAN GERIATRICS, PLLC., KENTUCKY | 1027591 | KENTUCKY |
| Headquarter of | JEAN GERIATRICS, PLLC., KENTUCKY | 1083484 | KENTUCKY |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346801024 | 2019-06-24 | 2019-06-24 | 3450 ROWLAND DR, PORT CHARLOTTE, FL, 339802284, US | 3450 ROWLAND DR, PORT CHARLOTTE, FL, 339802284, US | |||||||||||||||||
|
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| Phone | +1 941-276-8036 |
Authorized person
| Name | GERDIE JEAN-SMITH |
| Role | PHYSICIAN |
| Phone | 9412768036 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Taxonomy Code | 315D00000X - Inpatient Hospice |
| Is Primary | No |
| Name | Role |
|---|---|
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| JEAN-SMITH GERDIE | Manager | 3450 ROWLAND DRIVE, PORT CHARLOTTE, FL, 33980 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000019407 | REDEFINE LIFE | ACTIVE | 2020-02-12 | 2025-12-31 | No data | 3450 ROWLAND DRIVE, PORT CHARLOTTE, FL, 33980 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-05-01 | 3450 ROWLAND DRIVE, PORT CHARLOTTE, FL 33980 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-13 | 4929 SW 74TH CT, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-03-19 |
| Florida Limited Liability | 2018-07-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
