| Entity Name: | GASTRO MD FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Oct 2014 (10 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 30 Sep 2020 (4 years ago) |
| Document Number: | L14000163270 |
| FEI/EIN Number | 74-3189680 |
| Address: | 2884 WELLNESS AVE #100, ORANGE CITY, FL 32763 |
| Mail Address: | 2884 WELLNESS AVE #100, ORANGE CITY, FL 32763 |
| ZIP code: | 32763 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821167230 | 2006-11-07 | 2020-11-10 | 2884 WELLNESS AVE STE 100, ORANGE CITY, FL, 327638427, US | 2884 WELLNESS AVE STE 100, ORANGE CITY, FL, 327638427, US | |||||||||||||||||||||||
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| Phone | +1 386-668-2221 |
| Fax | 3866682228 |
Authorized person
| Name | VISHAL GUPTA |
| Role | PRESIDENT |
| Phone | 3866682221 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PTAN |
| Number | AB449 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GASTRO MD FLORIDA, LLC 401(K) PLAN | 2023 | 743189680 | 2024-10-04 | GASTRO MD FLORIDA, LLC | 87 | |||||||||||||
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| GASTRO MD FLORIDA, LLC 401(K) PLAN | 2022 | 743189680 | 2023-07-18 | GASTRO MD FLORIDA, LLC | 100 | |||||||||||||
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| GASTRO MD FLORIDA, LLC 401(K) PLAN | 2021 | 743189680 | 2022-07-24 | GASTRO MD FLORIDA, LLC | 67 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| GUPTA, VISHAL | Agent | 2884 WELLNESS AVE #100, ORANGE CITY, FL 32763 |
| Name | Role | Address |
|---|---|---|
| GUPTA, VISHAL | Manager | 2884 WELLNESS AVE #100, ORANGE CITY, FL 32763 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000076250 | GASTRO MD | ACTIVE | 2022-06-24 | 2027-12-31 | No data | 511 W BAY STREET, SUITE 400, TAMPA, FL, 33606 |
| G20000135003 | GASTROENTEROLOGY OF GREATER ORLANDO | ACTIVE | 2020-10-19 | 2025-12-31 | No data | 2884 WELLNESS AVE #100, ORANGE CITY, FL, 32763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2020-09-30 | GASTRO MD FLORIDA, LLC | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-23 | 2884 WELLNESS AVE #100, ORANGE CITY, FL 32763 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-23 | GUPTA, VISHAL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-23 | 2884 WELLNESS AVE #100, ORANGE CITY, FL 32763 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-05-15 | 2884 WELLNESS AVE #100, ORANGE CITY, FL 32763 | No data |
| CONVERSION | 2014-10-16 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P06000118385. CONVERSION NUMBER 100000145541 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-04-14 |
| LC Name Change | 2020-09-30 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-05-15 |
| ANNUAL REPORT | 2016-04-20 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
