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GASTRO HEALTH INTERNAL MEDICINE, LLC

Company Details

Entity Name: GASTRO HEALTH INTERNAL MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 27 Jul 2020 (4 years ago)
Document Number: L20000214792
FEI/EIN Number 85-2140143
Address: 9500 S DADELAND BLVD STE 200, MIAMI, FL 33156
Mail Address: 9500 S DADELAND BLVD STE 200, MIAMI, FL 33156
ZIP code: 33156
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205445699 2020-07-30 2020-09-09 9500 S DADELAND BLVD STE 200, MIAMI, FL, 331562866, US 9500 S DADELAND BLVD STE 200, MIAMI, FL, 331562866, US

Contacts

Phone +1 305-468-4185
Fax 3056753378

Authorized person

Name JOSEPH GARCIA
Role CEO
Phone 3054684185

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes
Taxonomy Code 261Q00000X - Clinic/Center
Is Primary No

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 1200 S PINE ISLAND RD, PLANTATION, FL 33324

Authorized Member

Name Role
GASTRO HEALTH, LLC Authorized Member

Chief Financial Officer

Name Role Address
Freni, Lawrence Chief Financial Officer 9500 S Dadeland Blvd, 200 Miami, FL 33156

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-02-09
Florida Limited Liability 2020-07-27

Date of last update: 15 Jan 2025

Sources: Florida Department of State