| Entity Name: | GULFSHORE PERSONALIZED CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Jan 2014 (11 years ago) |
| Document Number: | L14000010025 |
| FEI/EIN Number | 46-4558791 |
| Address: | 1250 S TAMIAMI TRAIL, SUITE 401, SARASOTA, FL 34239 |
| Mail Address: | 1250 S TAMIAMI TRAIL, SUITE 401, SARASOTA, FL 34239 |
| ZIP code: | 34239 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184017238 | 2015-03-13 | 2021-12-30 | 1250 S TAMIAMI TRL, STE 401, SARASOTA, FL, 342392221, US | 1250 S TAMIAMI TRL, STE 401, SARASOTA, FL, 342392221, US | |||||||||||||||||||||||||||
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| Phone | +1 941-366-2194 |
| Fax | 8776205910 |
| Fax | 9413667025 |
Authorized person
| Name | MR. MATTHEW CABRERA |
| Role | BUSINESS MANAGER |
| Phone | 9413662194 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | OS7384 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | OS7384 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GULFSHORE PERSONALIZED CARE LLC | 2023 | 464558791 | 2024-07-03 | GULFSHORE PERSONALIZED CARE LLC | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-03 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ARNE, ELMER T, JR | Agent | 1250 S TAMIAMI TRAIL, SUITE 401, SARASOTA, FL 34239 |
| Name | Role | Address |
|---|---|---|
| ARNE, ELMER T, JR. | Manager | 1250 S TAMIAMI TRAIL, SUITE 401 SARASOTA, FL 34239 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-19 | 1250 S TAMIAMI TRAIL, SUITE 401, SARASOTA, FL 34239 | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-19 | 1250 S TAMIAMI TRAIL, SUITE 401, SARASOTA, FL 34239 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-19 | 1250 S TAMIAMI TRAIL, SUITE 401, SARASOTA, FL 34239 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-02-09 |
| AMENDED ANNUAL REPORT | 2016-06-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7713267200 | 2020-04-28 | 0455 | PPP | 1250 S TAMIAMI TRAIL, STE 401, SARASOTA, FL, 34239 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 21 Feb 2025
Sources: Florida Department of State
