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GOLDEN AGE PHYSICIAN SPECIALISTS, LLC - Florida Company Profile

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Company Details

Entity Name: GOLDEN AGE PHYSICIAN SPECIALISTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

GOLDEN AGE PHYSICIAN SPECIALISTS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 22 Jun 2022 (3 years ago)
Document Number: L22000282491
FEI/EIN Number 882917136

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: P.O. BOX 2066, LECANTO, FL, 34460, US
Address: 6405 West Gulf to Lake Highway, Crystal River, FL, 34429, US
ZIP code: 34429
City: Crystal River
County: Citrus
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Manager -
Monticello Kimberly I Agent 5401 West Kennedy Boulevard, TAMPA, FL, 33609

National Provider Identifier

NPI Number:
1104520717
Certification Date:
2023-05-18

Authorized Person:

Name:
DACELIN ST. MARTIN
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000098805 MHST ACTIVE 2023-08-23 2028-12-31 - 1990 N PROSPECT AVE, LECANTO, FL, 34461
G22000146827 GAPS HEALTHCARE ACTIVE 2022-11-29 2027-12-31 - 6405 W GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-30 Monticello, Kimberly Isner -
REGISTERED AGENT ADDRESS CHANGED 2024-04-30 5401 West Kennedy Boulevard, Suite 100, TAMPA, FL 33609 -
CHANGE OF PRINCIPAL ADDRESS 2022-09-30 6405 West Gulf to Lake Highway, Crystal River, FL 34429 -
CHANGE OF MAILING ADDRESS 2022-08-31 6405 West Gulf to Lake Highway, Crystal River, FL 34429 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-05-01
Florida Limited Liability 2022-06-22

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Date of last update: 01 Jul 2025

Sources: Florida Department of State