| Entity Name: | GENX CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Oct 2023 (a year ago) |
| Document Number: | L23000483248 |
| FEI/EIN Number | 93-4353334 |
| Address: | 5809 NW 57TH AVE, TAMARAC, FL, 33319, US |
| Mail Address: | PO BOX 590437, FT LAUDERDALE, FL, 33359, US |
| ZIP code: | 33319 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326878323 | 2024-08-05 | 2024-08-05 | PO BOX 590437, FT LAUDERDALE, FL, 333590437, US | 5809 NW 57TH AVE, TAMARAC, FL, 333192436, US | |||||||||||||
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| Phone | +1 954-279-9343 |
Authorized person
| Name | MRS. KELLY ANN THOMAS |
| Role | APRN |
| Phone | 9542799343 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMAS KELLY ANN | Agent | 5809 NW 57TH AVE, TAMARAC, FL, 33319 |
| Name | Role | Address |
|---|---|---|
| THOMAS KELLY ANN | Manager | 5809 NW 57TH AVE, TAMARAC, FL, 33319-243 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | 5809 NW 57TH AVE, TAMARAC, FL 33319 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 5809 NW 57TH AVE, TAMARAC, FL 33319 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| Florida Limited Liability | 2023-10-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
