| Entity Name: | TRIPLE GEM HEALTHCARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 May 2019 (6 years ago) |
| Document Number: | P19000038947 |
| FEI/EIN Number | 84-1890712 |
| Address: | 7400 DEMENS DRIVE SOUTH, SAINT PETERSBURG, FL, 33712, US |
| Mail Address: | 7400 DEMENS DRIVE SOUTH, SAINT PETERSBURG, FL, 33712, US |
| ZIP code: | 33712 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356997662 | 2019-08-13 | 2019-08-13 | 4222 22ND AVE S # 531631, SAINT PETERSBURG, FL, 337119998, US | 2650 1ST AVE S, ST PETERSBURG, FL, 337121108, US | |||||||||||||||||||
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| Phone | +1 833-724-6688 |
| Fax | 8337246688 |
Authorized person
| Name | DR. ROBERT STALL |
| Role | CEO / PHYSICIAN |
| Phone | 8337246688 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | No |
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STALL ROBERT S | Agent | 7400 DEMENS DRIVE SOUTH, SAINT PETERSBURG, FL, 33712 |
| Name | Role | Address |
|---|---|---|
| STALL ROBERT S | President | 7400 DEMENS DRIVE SOUTH, SAINT PETERSBURG, FL, 33712 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-02-19 |
| ANNUAL REPORT | 2022-03-13 |
| ANNUAL REPORT | 2021-05-11 |
| ANNUAL REPORT | 2020-01-22 |
| Domestic Profit | 2019-05-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
