| Entity Name: | CHRIS R. GELVIN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Aug 1999 (25 years ago) |
| Document Number: | P99000071819 |
| FEI/EIN Number | 650940492 |
| Address: | 1217 S EAST AVE, 301, SARASOTA, FL, 34239 |
| Mail Address: | 1217 S EAST AVE, 301, SARASOTA, FL, 34239 |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437378239 | 2007-04-24 | 2010-08-30 | 1217 S EAST AVE, SUITE 301, SARASOTA, FL, 342392344, US | 1217 S EAST AVE, SUITE 301, SARASOTA, FL, 342392344, US | |||||||||||||||||||||||||||
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| Phone | +1 941-366-4440 |
| Fax | 9413662049 |
Authorized person
| Name | DR. CHRIS R GELVIN |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 9413664440 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001145700 |
| State | FL |
| Issuer | RR MEDICARE |
| Number | DG2481 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GELVIN CHRIS | Agent | 128 Golden Gate Pointe, SARASOTA, FL, 34236 |
| Name | Role | Address |
|---|---|---|
| GELVIN CHRIS R | Director | 128 Golden Gate Pointe, SARASOTA, FL, 34236 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-01 | 128 Golden Gate Pointe, Unit 901-1001, SARASOTA, FL 34236 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-17 | 1217 S EAST AVE, 301, SARASOTA, FL 34239 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-17 | 1217 S EAST AVE, 301, SARASOTA, FL 34239 | No data |
| REGISTERED AGENT NAME CHANGED | 2002-01-22 | GELVIN, CHRIS | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
