| Entity Name: | GENTLE MASSAGE THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Mar 2009 (16 years ago) |
| Document Number: | P09000026096 |
| FEI/EIN Number | 35-2361428 |
| Address: | 5041 W Oakland Park Blvd, Unit 308, Lauderdale Lakes, FL 33313 |
| Mail Address: | 5041 W Oakland Park Blvd, Unit 308, Lauderdale Lakes, FL 33313 |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073744488 | 2009-08-03 | 2022-12-08 | 5041 W OAKLAND PARK BLVD APT 308, LAUDERDALE LAKES, FL, 333131564, US | 5041 W OAKLAND PARK BLVD APT 308, LAUDERDALE LAKES, FL, 333131564, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 786-866-9727 |
| Fax | 9549532192 |
Authorized person
| Name | MR. MAXIMO R LOPEZ |
| Role | MASSAGE THERAPIST |
| Phone | 7868669727 |
Taxonomy
| Taxonomy Code | 225700000X - Massage Therapist |
| License Number | 40187 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1356675995 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOPEZ, MAXIMO | Agent | 5041 W Oakland Park Blvd, Unit 308, Lauderdale Lakes, FL 33313 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, MAXIMO | President | 5041 W Oakland Park Blvd, Unit 308 Lauderdale Lakes, FL 33313 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, MAXIMO | Director | 5041 W Oakland Park Blvd, Unit 308 Lauderdale Lakes, FL 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-07 | 5041 W Oakland Park Blvd, Unit 308, Lauderdale Lakes, FL 33313 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-07 | 5041 W Oakland Park Blvd, Unit 308, Lauderdale Lakes, FL 33313 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-07 | 5041 W Oakland Park Blvd, Unit 308, Lauderdale Lakes, FL 33313 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-03-02 |
| ANNUAL REPORT | 2018-03-10 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-02-24 |
Date of last update: 24 Feb 2025
Sources: Florida Department of State
