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GENX CARE LLC - Florida Company Profile

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Company Details

Entity Name: GENX CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Oct 2023 (2 years 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
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
THOMAS KELLY ANN Manager 5809 NW 57TH AVE, TAMARAC, FL, 33319-243
THOMAS KELLY ANN Agent 5809 NW 57TH AVE, TAMARAC, FL, 33319

National Provider Identifier

NPI Number:
1326878323
Certification Date:
2024-08-05

Authorized Person:

Name:
MRS. KELLY ANN THOMAS
Role:
APRN
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-29 5809 NW 57TH AVE, TAMARAC, FL 33319 -
REGISTERED AGENT ADDRESS CHANGED 2024-04-29 5809 NW 57TH AVE, TAMARAC, FL 33319 -

Documents

Name Date
ANNUAL REPORT 2024-04-29
Florida Limited Liability 2023-10-23

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Date of last update: 03 Aug 2025

Sources: Florida Department of State