| Entity Name: | GERIATRX CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Sep 2000 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 May 2020 (5 years ago) |
| Document Number: | P00000088515 |
| FEI/EIN Number | 651043673 |
| Address: | 5753 SW LONGSPUR LANE, PALM CITY, FL, 34990 |
| Mail Address: | 5753 SW Longspur Lane, PALM CITY, FL, 34990, US |
| ZIP code: | 34990 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700860459 | 2005-12-05 | 2011-06-17 | PO BOX 2569, PALM CITY, FL, 349912569, US | 3756 SW BIMINI CIR S, PALM CITY, FL, 349901335, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 772-249-0528 |
| Fax | 7722377841 |
Authorized person
| Name | MISS CHRISTINE LESTER |
| Role | BILLING MANAGER |
| Phone | 7722490528 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 048468700 |
| State | FL |
| Issuer | BLUE CROSS |
| Number | 07303 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Levenstein Richard HEsq. | Agent | 3001 PGA Blvd., Suite 305, Palm Beach Gardens, FL, 33410 |
| Name | Role | Address |
|---|---|---|
| GIL WALTER R | President | 5753 SW LONGSPUR LANE, PALM CITY, FL, 34990 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000020063 | PREMIER EXECUTIVE HEALTH | EXPIRED | 2017-02-23 | 2022-12-31 | No data | 5753 SW LONGSPUR LN., PALM CITY, FL, 34990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-06-11 | 3001 PGA Blvd., Suite 305, Palm Beach Gardens, FL 33410 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-06-11 | Levenstein, Richard H, Esq. | No data |
| REINSTATEMENT | 2020-05-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2016-11-03 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-11-03 | 5753 SW LONGSPUR LANE, PALM CITY, FL 34990 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REINSTATEMENT | 2013-04-04 | No data | No data |
| PENDING REINSTATEMENT | 2013-04-04 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-04 | 5753 SW LONGSPUR LANE, PALM CITY, FL 34990 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-06-11 |
| REINSTATEMENT | 2020-05-12 |
| ANNUAL REPORT | 2017-09-01 |
| REINSTATEMENT | 2016-11-03 |
| REINSTATEMENT | 2013-04-04 |
| ANNUAL REPORT | 2010-02-18 |
| ANNUAL REPORT | 2009-02-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
