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GERIATRIC MEDICAL SPECIALISTS, LLC - Florida Company Profile

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Company Details

Entity Name: GERIATRIC MEDICAL SPECIALISTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Apr 2021 (4 years ago)
Document Number: L21000159356
FEI/EIN Number 88-1393597
Address: 200 Central Ave, 4th Floor, St. Petersburg, FL, 33701, US
Mail Address: 200 Central Ave, 4th Floor, St. Petersburg, FL, 33701, US
ZIP code: 33701
City: Saint Petersburg
County: Pinellas
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
1342350
State:
KENTUCKY

Key Officers & Management

Name Role Address
HAITHCOAT THOMAS Manager 200 CENTRAL AVENUE, 4TH FLOOR, ST PETERSBURG, FL, 33701
HAITHCOAT THOMAS C Agent 200 Central Ave, St. Petersburg, FL, 33701
Ptacek Travis Phys 200 Central Ave, St. Petersburg, FL, 33701

National Provider Identifier

NPI Number:
1568143725
Certification Date:
2023-07-28

Authorized Person:

Name:
TOM HAITHCOAT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207QG0300X - Geriatric Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-08-03 200 Central Ave, 4th Floor, St. Petersburg, FL 33701 -
CHANGE OF PRINCIPAL ADDRESS 2022-03-24 200 Central Ave, 4th Floor, St. Petersburg, FL 33701 -
REGISTERED AGENT ADDRESS CHANGED 2022-03-24 200 Central Ave, 4th Floor, St. Petersburg, FL 33701 -

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-01-27
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-03-24
Florida Limited Liability 2021-04-06

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Date of last update: 02 Aug 2025

Sources: Florida Department of State