| Entity Name: | GENTLE MEDICINE ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Nov 2000 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Dec 2001 (23 years ago) |
| Document Number: | P00000102444 |
| FEI/EIN Number | 651051594 |
| Address: | 202 SE 23rd AVE, BOYNTON BEACH, FL, 33435, US |
| Mail Address: | 202 SE 23rd AVE, BOYNTON BEACH, FL, 33435, US |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518089945 | 2007-04-05 | 2011-05-03 | 202 SE 23RD AVE, BOYNTON BEACH, FL, 334357620, US | 202 SE 23RD AVE, BOYNTON BEACH, FL, 334357620, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-737-1317 |
| Fax | 5613640097 |
Authorized person
| Name | DR. REGINE V BATAILLE |
| Role | PRESIDENT |
| Phone | 5617371317 |
Taxonomy
| Taxonomy Code | 2080H0002X - Pediatric Hospice and Palliative Medicine Physician |
| License Number | ME79891 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 2607492 |
| State | FL |
| Issuer | BCBS |
| Number | 58050 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GENTLE MEDICINE ASSOCIATES INC 401 K PROFIT SHARING PLAN TRUST | 2018 | 651051594 | 2019-07-30 | GENTLE MEDICINE ASSOCIATES INC | 6 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-07-30 |
| Name of individual signing | REGINE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 812990 |
| Sponsor’s telephone number | 5617371317 |
| Plan sponsor’s address | 202 SE 23RD AVE, BOYNTON BEACH, FL, 33435 |
Signature of
| Role | Plan administrator |
| Date | 2018-07-31 |
| Name of individual signing | REGINE BATAILLE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Bataille Regine V | Agent | 202 SE 23rd AVE, BOYNTON BEACH, FL, 33435 |
| Name | Role | Address |
|---|---|---|
| Bataille Regine V | President | 202 SE 23rd AVE, BOYNTON BEACH, FL, 33435 |
| Name | Role | Address |
|---|---|---|
| Bataille Regine V | Secretary | 202 SE 23rd AVE, BOYNTON BEACH, FL, 33435 |
| Name | Role | Address |
|---|---|---|
| Bataille Regine V | Director | 202 SE 23rd AVE, BOYNTON BEACH, FL, 33435 |
| Name | Role | Address |
|---|---|---|
| BATAILLE GARY | Treasurer | 202 SE 23rd AVE, BOYNTON BEACH, FL, 33435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-14 | 202 SE 23rd AVE, BOYNTON BEACH, FL 33435 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-14 | 202 SE 23rd AVE, BOYNTON BEACH, FL 33435 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-14 | Bataille, Regine Vachon | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-14 | 202 SE 23rd AVE, BOYNTON BEACH, FL 33435 | No data |
| REINSTATEMENT | 2001-12-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6137858301 | 2021-01-26 | 0455 | PPS | 202 SE 23 RD AVE, BOYNTON BEACH, FL, 33435 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State
