| Entity Name: | GERIATRICS AND INTERNAL MEDICINE PRACTICES, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Mar 2009 (16 years ago) |
| Document Number: | P09000021700 |
| FEI/EIN Number | 264417088 |
| Address: | 3921 SW 34th Street, GAINESVILLE, FL, 32608, US |
| Mail Address: | PO BOX 141045, GAINESVILLE, FL, 32614, US |
| ZIP code: | 32608 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689816316 | 2009-03-26 | 2016-06-14 | PO BOX 141045, GAINESVILLE, FL, 326141045, US | 3921 SW 34TH ST, SUITE 201, GAINESVILLE, FL, 326086560, US | |||||||||||||||||||||||||||||
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| Phone | +1 352-367-9700 |
| Fax | 3523671009 |
| Phone | +1 352-336-3050 |
| Fax | 3523372571 |
Authorized person
| Name | DR. JULIE ZHU |
| Role | OWNER |
| Phone | 3523679700 |
Taxonomy
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| License Number | ME83771 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC FLORIDA |
| Number | 022ZJ |
| State | FL |
| Name | Role | Address |
|---|---|---|
| XIA SHEN-LING PPhD | Agent | 3921 SW 34th Street, Gainesville, FL, 32608 |
| Name | Role | Address |
|---|---|---|
| ZHU JULIE LMD | President | PO BOX 141045, GAINESVILLE, FL, 32614 |
| Name | Role | Address |
|---|---|---|
| XIA SHEN-LING PPhD | Chief Executive Officer | PO BOX 141045, GAINESVILLE, FL, 32614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-24 | 3921 SW 34th Street, Unit #201, GAINESVILLE, FL 32608 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-24 | XIA, SHEN-LING P, PhD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-26 | 3921 SW 34th Street, Suite #201, Gainesville, FL 32608 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-28 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
