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  5. GASTROMED, LLC

GASTROMED, LLC - Florida Company Profile

Company Details

Entity Name: GASTROMED, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

GASTROMED, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 10 Nov 2011 (13 years ago)
Last Event: CONVERSION
Event Date Filed: 10 Nov 2011 (13 years ago)
Document Number: L11000128940
FEI/EIN Number 650289047

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 5101 SW 8th Street, MIAMI, FL, 33134, US
Mail Address: 5101 SW 8th Street, MIAMI, FL, 33134, US
ZIP code: 33134
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538491063 2010-02-09 2023-11-28 5101 SW 8TH STREET, SUITE 200, CORAL GABLES, FL, 331342442, US 5101 SW 8TH STREET, SUITE 200, CORAL GABLES, FL, 331342442, US

Contacts
Phone +1 305-262-6060
Fax 3052626038

Authorized person
Name MARIA P LEON
Role REVENUE CYCLE MANAGEMENT SUPERVISOR
Phone 3053595037

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 002496108
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GASTROMED LLC RETIREMENT PLAN 2023 650289047 2024-06-07 GASTROMED LLC 110
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-06-30
Business code 621111
Sponsor’s telephone number 3052626060
Plan sponsor’s address 5101 SW 8TH STREET, STE 200, MIAMI, FL, 33134
GASTROMED LLC RETIREMENT PLAN 2022 650289047 2023-06-08 GASTROMED LLC 98
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-06-30
Business code 621111
Sponsor’s telephone number 3052626060
Plan sponsor’s address 5101 SW 8TH STREET, STE 200, MIAMI, FL, 33134
GASTROMED LLC RETIREMENT PLAN 2021 650289047 2022-06-09 GASTROMED LLC 81
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-06-30
Business code 621111
Sponsor’s telephone number 3052626060
Plan sponsor’s address 5101 SW 8TH STREET, STE 200, MIAMI, FL, 33134
GASTROMED LLC RETIREMENT PLAN 2020 650289047 2021-06-08 GASTROMED LLC 58
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-06-30
Business code 621111
Sponsor’s telephone number 3052626060
Plan sponsor’s address 5101 SW 8TH STREET, STE 200, MIAMI, FL, 33134
GASTROMED LLC RETIREMENT PLAN 2019 650289047 2020-06-19 GASTROMED LLC 58
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-06-30
Business code 621111
Sponsor’s telephone number 3052626060
Plan sponsor’s address 5101 SW 8TH STREET, STE 200, MIAMI, FL, 33134
GASTROMED LLC RETIREMENT PLAN 2018 650289047 2019-06-12 GASTROMED LLC 50
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-06-30
Business code 621111
Sponsor’s telephone number 3055596687
Plan sponsor’s address P O BOX 430955, MIAMI, FL, 33243
GASTROMED LLC RETIREMENT PLAN 2017 650289047 2018-05-21 GASTROMED LLC 44
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-06-30
Business code 621111
Sponsor’s telephone number 3055596687
Plan sponsor’s address P O BOX 430955, MIAMI, FL, 33243
GASTROMED LLC RETIREMENT PLAN 2016 650289047 2017-05-17 GASTROMED LLC 36
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-06-30
Business code 621111
Sponsor’s telephone number 3055596687
Plan sponsor’s address P O BOX 430955, MIAMI, FL, 33243

Signature of
Role Plan administrator
Date 2017-05-17
Name of individual signing CARLOS INCERA
Valid signature Filed with authorized/valid electronic signature
GASTROMED LLC RETIREMENT PLAN 2015 650289047 2016-04-28 GASTROMED LLC 36
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-06-30
Business code 621111
Sponsor’s telephone number 3055596687
Plan sponsor’s address P O BOX 430955, MIAMI, FL, 33243

Signature of
Role Plan administrator
Date 2016-04-28
Name of individual signing ANGEL VELOSO M.D.
Valid signature Filed with authorized/valid electronic signature
GASTROMED LLC RETIREMENT PLAN 2014 650289047 2015-05-18 GASTROMED LLC 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1984-06-30
Business code 621111
Sponsor’s telephone number 3055596687
Plan sponsor’s address P O BOX 430955, MIAMI, FL, 33243

Signature of
Role Plan administrator
Date 2015-05-18
Name of individual signing ANGEL VELOSO M.D.
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MARIN CRISTINA MD Auth 8525 SW 92 STREET, MIAMI, FL, 33156
VELOSO ALEXANDER MD Auth 5101 SW 8TH STREET, MIAMI, FL, 33134
ANDRADE CHRISTIAN M.D. Auth 5101 SW 8TH STREET, MIAMI, FL, 33134
CORPORATION SERVICE COMPANY Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000043413 HOMESTEAD ENDOSCOPY CENTER LLC ACTIVE 2024-03-28 2029-12-31 - 5101 SW 8TH STREET, SUITE 201, MIAMI, FL, 33134

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-21 5101 SW 8th Street, SUITE 201, MIAMI, FL 33134 -
CHANGE OF MAILING ADDRESS 2023-04-21 5101 SW 8th Street, SUITE 201, MIAMI, FL 33134 -
REGISTERED AGENT NAME CHANGED 2021-03-04 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2021-03-04 1201 Hays Street, Tallahassee, FL 32301 -
CONVERSION 2011-11-10 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L05091. CONVERSION NUMBER 700000117467

Documents

Name Date
ANNUAL REPORT 2024-03-15
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-03-22
ANNUAL REPORT 2021-03-04
ANNUAL REPORT 2020-03-06
ANNUAL REPORT 2019-04-12
ANNUAL REPORT 2018-03-30
ANNUAL REPORT 2017-04-12
ANNUAL REPORT 2016-03-28
AMENDED ANNUAL REPORT 2015-04-24

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4600987106 2020-04-13 0455 PPP 5101 SW 8th Street, 2nd floor, MIAMI, FL, 33134
Loan Status Date 2021-07-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 591800
Loan Approval Amount (current) 591800
Undisbursed Amount 0
Franchise Name -
Lender Location ID 51009
Servicing Lender Name First-Citizens Bank & Trust Company
Servicing Lender Address 100 E. Tryon Rd DAC - 90, Raleigh, NC, 27603-3581
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address MIAMI, MIAMI-DADE, FL, 33134-1000
Project Congressional District FL-27
Number of Employees 47
NAICS code 621111
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 51009
Originating Lender Name First-Citizens Bank & Trust Company
Originating Lender Address Raleigh, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 598625.97
Forgiveness Paid Date 2021-06-17

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Date of last update: 01 Apr 2025

Sources: Florida Department of State

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