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GERIATRIC HOSPITAL MEDICINE, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
MAGUCHI ALDRETE, MEGUMI, MD Agent 9013 UNIVERSITY PARKWAY SUITE G, PENSACOLA, FL 32514

Manager

Name Role Address
MAGUCHI ALDRETE, MEGUMI Manager 9013 UNIVERSITY PARKWAY SUITE G, PENSACOLA, FL 32514

Documents

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