| 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 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | GERIATRIC MEDICAL SPECIALISTS, LLC, KENTUCKY | 1342350 | KENTUCKY |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568143725 | 2023-07-28 | 2023-07-28 | 200 CENTRAL AVE FL 4, ST PETERSBURG, FL, 337013566, US | 200 CENTRAL AVE FL 4, ST PETERSBURG, FL, 337013566, US | |||||||||||||
|
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| Phone | +1 317-370-2013 |
Authorized person
| Name | TOM HAITHCOAT |
| Role | PRESIDENT |
| Phone | 3173702013 |
Taxonomy
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAITHCOAT THOMAS C | Agent | 200 Central Ave, St. Petersburg, FL, 33701 |
| Name | Role | Address |
|---|---|---|
| HAITHCOAT THOMAS | Manager | 200 CENTRAL AVENUE, 4TH FLOOR, ST PETERSBURG, FL, 33701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-08-03 | 200 Central Ave, 4th Floor, St. Petersburg, FL 33701 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-24 | 200 Central Ave, 4th Floor, St. Petersburg, FL 33701 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-24 | 200 Central Ave, 4th Floor, St. Petersburg, FL 33701 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-03-24 |
| Florida Limited Liability | 2021-04-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
