Entity Name: | WELL BALANCED HEALTHCARE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 03 Mar 2020 (5 years ago) |
Document Number: | L20000071101 |
FEI/EIN Number | 84-5081088 |
Address: | 6440 W. NEWBERRY ROAD, SUITE 409, GAINESVILLE, FL, 32605 |
Mail Address: | 6440 W. NEWBERRY ROAD, SUITE 409, GAINESVILLE, FL, 32605 |
ZIP code: | 32605 |
County: | Alachua |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1912534884 | 2020-03-23 | 2020-03-23 | 6440 W NEWBERRY RD STE 409, GAINESVILLE, FL, 326054370, US | 6440 W NEWBERRY RD STE 409, GAINESVILLE, FL, 326054370, US | |||||||||||||||||||
|
Phone | +1 352-333-6161 |
Fax | 3523336162 |
Authorized person
Name | GREGORY J BAILEY |
Role | SOLE PROPRIETOR |
Phone | 3523336161 |
Taxonomy
Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
Is Primary | No |
Taxonomy Code | 207VF0040X - Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
WELL BALANCED HEALTHCARE LLC 401(K) PLAN | 2023 | 845081088 | 2024-09-10 | WELL BALANCED HEALTHCARE LLC | 11 | |||||||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2024-09-10 |
Name of individual signing | PAM ROLFE |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2024-09-10 |
Name of individual signing | PAM ROLFE |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2021-08-01 |
Business code | 621111 |
Sponsor’s telephone number | 3523336161 |
Plan sponsor’s address | 6440 W. NEWBERRY ROAD, SUITE 409, GAINESVILLE, FL, 326054370 |
Signature of
Role | Plan administrator |
Date | 2023-10-09 |
Name of individual signing | PAMELA ROLFE |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2021-08-01 |
Business code | 621111 |
Sponsor’s telephone number | 3523336161 |
Plan sponsor’s address | 6440 W. NEWBERRY ROAD, SUITE 409, GAINESVILLE, FL, 326054370 |
Signature of
Role | Plan administrator |
Date | 2022-10-12 |
Name of individual signing | PAMELA ROLFE |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2022-10-12 |
Name of individual signing | PAMELA ROLFE |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
ROLFE PAM | Agent | 6440 W. NEWBERRY ROAD, GAINESVILLE, FL, 32605 |
Name | Role | Address |
---|---|---|
BAILEY GREGORY J | Manager | 6440 W. NEWBERRY ROAD, SUITE 409, GAINESVILLE, FL, 32605 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-26 |
ANNUAL REPORT | 2023-01-19 |
ANNUAL REPORT | 2022-03-01 |
ANNUAL REPORT | 2021-02-24 |
Florida Limited Liability | 2020-03-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State