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  5. GARRETT INTERNAL MEDICINE, P.A.

GARRETT INTERNAL MEDICINE, P.A.

Company Details

Entity Name: GARRETT INTERNAL MEDICINE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Apr 2014 (11 years ago)
Document Number: P14000035369
FEI/EIN Number 46-5538277
Address: 50 Leanni Way, Palm Coast, FL, 32137, US
Mail Address: 50 Leanni Way, Palm Coast, FL, 32137, US
ZIP code: 32137
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578954681 2015-02-11 2023-03-19 50 LEANNI WAY STE A3-4, PALM COAST, FL, 321374751, US 50 LEANNI WAY STE A3-4, PALM COAST, FL, 321374751, US

Contacts
Phone +1 386-225-4900
Fax 3862254748

Authorized person
Name PATRICK H. GARRETT III
Role PRESIDENT
Phone 3862254900

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GARRETT INTERNAL MEDICINE, PA 401(K) PLAN 2023 465538277 2024-05-11 GARRETT INTERNAL MEDICINE, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3862254900
Plan sponsor’s address 50 LEANNI WAY, SUITES A3-A4, PALM COAST, FL, 32137

Signature of
Role Plan administrator
Date 2024-05-11
Name of individual signing PATRICK GARRETT
Valid signature Filed with authorized/valid electronic signature
GARRETT INTERNAL MEDICINE, PA 401(K) PLAN 2022 465538277 2023-05-29 GARRETT INTERNAL MEDICINE, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3862254900
Plan sponsor’s address 50 LEANNI WAY, SUITES A3-A4, PALM COAST, FL, 32137

Signature of
Role Plan administrator
Date 2023-05-29
Name of individual signing PATRICK H GARRETT
Valid signature Filed with authorized/valid electronic signature
GARRETT INTERNAL MEDICINE, PA 401(K) PLAN 2021 465538277 2022-06-25 GARRETT INTERNAL MEDICINE, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3862254900
Plan sponsor’s address 50 LEANNI WAY, SUITES A3-A4, PALM COAST, FL, 32137

Signature of
Role Plan administrator
Date 2022-06-25
Name of individual signing PATRICK GARRETT
Valid signature Filed with authorized/valid electronic signature
GARRETT INTERNAL MEDICINE, PA 401(K) PLAN 2020 465538277 2021-06-07 GARRETT INTERNAL MEDICINE, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3862254900
Plan sponsor’s address 50 LEANNI WAY, SUITES A3-A4, PALM COAST, FL, 32137

Signature of
Role Plan administrator
Date 2021-06-07
Name of individual signing PATRICK GARRETT
Valid signature Filed with authorized/valid electronic signature
GARRETT INTERNAL MEDICINE, PA 401(K) PLAN 2019 465538277 2020-05-01 GARRETT INTERNAL MEDICINE, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3862254900
Plan sponsor’s address 385 PALM COAST PARKWAY SW, UNIT 3, PALM COAST, FL, 32137

Signature of
Role Plan administrator
Date 2020-05-01
Name of individual signing PATRICK GARRETT
Valid signature Filed with authorized/valid electronic signature
GARRETT INTERNAL MEDICINE, PA 401(K) PLAN 2018 465538277 2019-05-19 GARRETT INTERNAL MEDICINE, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 3862254900
Plan sponsor’s address 385 PALM COAST PARKWAY SW, UNIT 3, PALM COAST, FL, 32137

Signature of
Role Plan administrator
Date 2019-05-19
Name of individual signing PATRICK GARRETT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GARRETT PATRICK Agent 50 Leanni Way, PALM COAST, FL, 32137

President

Name Role Address
GARRETT PATRICK MD President 50 Leanni Way, Palm Coast, FL, 32137

Vice President

Name Role Address
GARRETT CHRISTINE MD Vice President 50 Leanni Way, Palm Coast, FL, 32137

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000060492 GARRETT MEDICINE ACTIVE 2023-05-14 2028-12-31 No data 50 LEANNI WAY, A3-4, PALM COAST, FL, 32137
G20000005183 GARRETT INTERNAL MEDICINE ACTIVE 2020-01-12 2025-12-31 No data 50 LEANNI WAY, SUITES A3-4, PALM COAST, FL, 32137

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-01-02 50 Leanni Way, Suites A3-4, Palm Coast, FL 32137 No data
CHANGE OF MAILING ADDRESS 2020-01-02 50 Leanni Way, Suites A3-4, Palm Coast, FL 32137 No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-02 50 Leanni Way, Suites A3-4, PALM COAST, FL 32137 No data
REGISTERED AGENT NAME CHANGED 2015-06-26 GARRETT, PATRICK No data

Documents

Name Date
ANNUAL REPORT 2025-01-12
ANNUAL REPORT 2024-01-06
ANNUAL REPORT 2023-01-14
ANNUAL REPORT 2022-01-10
ANNUAL REPORT 2021-01-24
ANNUAL REPORT 2020-01-02
ANNUAL REPORT 2019-01-13
ANNUAL REPORT 2018-01-13
ANNUAL REPORT 2017-01-07
ANNUAL REPORT 2016-01-23

Related by officers

GARRETT PATRICK

SAWDUST JUNCTION HOLDINGS, LLC BRITTLE ROAD ESTATE HOLDINGS, LLC TARRAGONA TECHNOLOGIES, LLC LAKEWOOD RANCH GROUP LLC

Related by address

50 Leanni Way, Palm Coast, FL, 32137, US

ATLANTIC BENEFIT CONSULTANTS, LLC TRULY YOURS TITLE, LLC INTRACOASTAL PROPERTIES V LLC GET OFF THE COUCH COUNSELING, LLC BLUE WATER PROPERTIES II, LLC FRAGA INVESTMENTS INC AFFORDABLE ROOFING OF FLAGLER COUNTY, LLC OPTRIA, LLC

50 Leanni Way, Palm Coast, FL, 32137, US

ATLANTIC BENEFIT CONSULTANTS, LLC TRULY YOURS TITLE, LLC INTRACOASTAL PROPERTIES V LLC GET OFF THE COUCH COUNSELING, LLC BLUE WATER PROPERTIES II, LLC FRAGA INVESTMENTS INC AFFORDABLE ROOFING OF FLAGLER COUNTY, LLC OPTRIA, LLC

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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