| Entity Name: | GENTLE CARE PODIATRY, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Nov 2015 (9 years ago) |
| Document Number: | L15000189377 |
| FEI/EIN Number | 47-5552254 |
| Address: | 660 Jubilee Circle, Yulee, FL, 32097, US |
| Mail Address: | 660 Jubilee Circle, Yulee, FL, 32097, US |
| ZIP code: | 32097 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326403585 | 2015-12-15 | 2015-12-15 | 8450 GATE PKWY W, UNIT 1504, JACKSONVILLE, FL, 322161049, US | 8450 GATE PKWY W, UNIT 1504, JACKSONVILLE, FL, 322161049, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 904-738-7381 |
| Fax | 9047387259 |
Authorized person
| Name | DR. DOMINIQUE MARIE RAMEAU |
| Role | C.E.O. |
| Phone | 9047387381 |
Taxonomy
| Taxonomy Code | 213EP1101X - Primary Podiatric Medicine Podiatrist |
| License Number | PO3446 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002849500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAMEAU DOMINIQUE MDPM | Agent | 660 Jubilee Circle, Yulee, FL, 32097 |
| Name | Role | Address |
|---|---|---|
| RAMEAU DOMINIQUE MDPM | Manager | 660 Jubilee Circle, Yulee, FL, 32097 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-06 | 660 Jubilee Circle, Yulee, FL 32097 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-06 | 660 Jubilee Circle, Yulee, FL 32097 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-06 | 660 Jubilee Circle, Yulee, FL 32097 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-01-03 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-01-06 |
| ANNUAL REPORT | 2019-02-02 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-02-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
