Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Polk
    4. ›
  4. 33812
    5. ›
  5. GREGORIO N. MEDALLE, M.D., P.A.

GREGORIO N. MEDALLE, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: GREGORIO N. MEDALLE, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

GREGORIO N. MEDALLE, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 27 Aug 1986 (39 years ago)
Date of dissolution: 28 Sep 2018 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (7 years ago)
Document Number: J30579
FEI/EIN Number 411419893

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2822 CHATSWORTH LANE, LAKELAND, FL, 33812, US
Mail Address: 1110 HUSS ROAD, WAUCHULA, FL, 33873, US
ZIP code: 33812
County: Polk
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREGORIO N. MEDALLE, M.D., P.A. PROFIT SHARING PLAN 2016 411419893 2017-08-31 GREGORIO N. MEDALLE, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8637733773
Plan sponsor’s address 1052 DOWNING CIRCLE, WAUCHULA, FL, 338733358
GREGORIO N. MEDALLE, M.D., P.A. PROFIT SHARING PLAN 2015 411419893 2016-06-28 GREGORIO N. MEDALLE, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8637733773
Plan sponsor’s address 1052 DOWNING CIRCLE, WAUCHULA, FL, 338733358
GREGORIO N. MEDALLE, M.D., P.A. PROFIT SHARING PLAN 2014 411419893 2015-10-02 GREGORIO N. MEDALLE, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8637733773
Plan sponsor’s address 1052 DOWNING CIRCLE, WAUCHULA, FL, 338733358
GREGORIO N. MEDALLE, M.D., P.A. PROFIT SHARING PLAN 2013 411419893 2014-09-05 GREGORIO N. MEDALLE, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8637733773
Plan sponsor’s address 1052 DOWNING CIRCLE, WAUCHULA, FL, 338733358
GREGORIO N. MEDALLE, M.D., P.A. PROFIT SHARING PLAN 2012 411419893 2013-10-15 GREGORIO N. MEDALLE, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8637733773
Plan sponsor’s address 1052 DOWNING CIRCLE, WAUCHULA, FL, 338733358

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing GREGORIO N MEDALLE MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing GREGORIO N MEDALLE MD
Valid signature Filed with authorized/valid electronic signature
GREGORIO N. MEDALLE, M.D., P.A. PROFIT SHARING PLAN 2011 411419893 2012-06-25 GREGORIO N. MEDALLE, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8637733773
Plan sponsor’s address 1052 DOWNING CIRCLE, WAUCHULA, FL, 338733358

Plan administrator’s name and address
Administrator’s EIN 411419893
Plan administrator’s name GREGORIO N. MEDALLE, M.D., P.A.
Plan administrator’s address 1052 DOWNING CIRCLE, WAUCHULA, FL, 338733358
Administrator’s telephone number 8637733773

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing GREGORIO N MEDALLE MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-25
Name of individual signing GREGORIO N MEDALLE MD
Valid signature Filed with authorized/valid electronic signature
GREGORIO N. MEDALLE, M.D., P.A. PROFIT SHARING PLAN 2010 411419893 2011-09-19 GREGORIO N. MEDALLE, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8637733773
Plan sponsor’s address 1052 DOWNING CIRCLE, WAUCHULA, FL, 338733358

Plan administrator’s name and address
Administrator’s EIN 411419893
Plan administrator’s name GREGORIO N. MEDALLE, M.D., P.A.
Plan administrator’s address 1052 DOWNING CIRCLE, WAUCHULA, FL, 338733358
Administrator’s telephone number 8637733773

Signature of
Role Plan administrator
Date 2011-09-19
Name of individual signing GREGORIO N MEDALLE MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-19
Name of individual signing GREGORIO N MEDALLE MD
Valid signature Filed with authorized/valid electronic signature
GREGORIO N. MEDALLE, M.D., P.A. PROFIT SHARING PLAN 2009 411419893 2010-10-13 GREGORIO N. MEDALLE, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8637733773
Plan sponsor’s address 1052 DOWNING CIRCLE, WAUCHULA, FL, 338733358

Plan administrator’s name and address
Administrator’s EIN 411419893
Plan administrator’s name GREGORIO N. MEDALLE, M.D., P.A.
Plan administrator’s address 1052 DOWNING CIRCLE, WAUCHULA, FL, 338733358
Administrator’s telephone number 8637733773

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing GREGORIO N MEDALLE MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing GREGORIO N MEDALLE MD
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MEDALLE GREGORIO N President 2822 CHATSWORTH LANE, LAKELAND, FL, 33812
MEDALLE GREGORIO N Agent 2822 CHATSWORTH LANE, LAKELAND, FL, 33812

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 - -
CHANGE OF PRINCIPAL ADDRESS 2017-02-28 2822 CHATSWORTH LANE, LAKELAND, FL 33812 -
REGISTERED AGENT NAME CHANGED 2017-02-28 MEDALLE, GREGORIO N -
REGISTERED AGENT ADDRESS CHANGED 2017-02-28 2822 CHATSWORTH LANE, LAKELAND, FL 33812 -
CHANGE OF MAILING ADDRESS 2005-05-02 2822 CHATSWORTH LANE, LAKELAND, FL 33812 -

Documents

Name Date
ANNUAL REPORT 2017-02-28
ANNUAL REPORT 2016-04-02
ANNUAL REPORT 2015-04-18
ANNUAL REPORT 2014-04-24
ANNUAL REPORT 2013-04-25
ANNUAL REPORT 2012-04-30
ANNUAL REPORT 2011-06-30
ANNUAL REPORT 2010-04-30
ANNUAL REPORT 2009-04-27
ANNUAL REPORT 2008-05-06

Companies related by officers

MEDALLE GREGORIO N

MEDALLE FAMILY, LLC - Inactive
Florida Limited Liability Co. (2003 - 2017)

Companies related by address

1110 HUSS ROAD, WAUCHULA, FL, 33873, US

BEULAHLAND, INC.

Date of last update: 03 Apr 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated