Entity Name: | GERIATRIC HOSPITAL MEDICINE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 16 Oct 2023 (a year ago) |
Document Number: | L23000474792 |
FEI/EIN Number | 93-4016503 |
Address: | 9013 UNIVERSITY PARKWAY SUITE G, PENSACOLA, FL 32514 |
Mail Address: | 9013 UNIVERSITY PARKWAY SUITE G, PENSACOLA, FL 32514 |
ZIP code: | 32514 |
County: | Escambia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1336911593 | 2023-10-23 | 2023-11-30 | 9013 UNIVERSITY PKWY STE G, PENSACOLA, FL, 325149421, US | 5151 N 9TH AVE, PENSACOLA, FL, 325048721, US | |||||||||||||||||
|
Phone | +1 504-781-3128 |
Fax | 8509128150 |
Phone | +1 713-870-2752 |
Authorized person
Name | MEGUMI MAGUCHI ALDRETE |
Role | PRESIDENT |
Phone | 7138702752 |
Taxonomy
Taxonomy Code | 208M00000X - Hospitalist Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MAGUCHI ALDRETE, MEGUMI, MD | Agent | 9013 UNIVERSITY PARKWAY SUITE G, PENSACOLA, FL 32514 |
Name | Role | Address |
---|---|---|
MAGUCHI ALDRETE, MEGUMI | Manager | 9013 UNIVERSITY PARKWAY SUITE G, PENSACOLA, FL 32514 |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-26 |
ANNUAL REPORT | 2024-01-23 |
Florida Limited Liability | 2023-10-16 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State