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  5. GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC.

GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC.

Company Details

Entity Name: GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 28 Sep 2009 (15 years ago)
Last Event: ARTICLES OF CORRECTION/NAME CHANGE
Event Date Filed: 20 Oct 2009 (15 years ago)
Document Number: P09000080439
FEI/EIN Number 27-1070549
Address: 501 NW Lake Whitney Place, Suite 102, PORT ST LUCIE, FL 34986
Mail Address: POST OFFICE BOX 8090, PORT ST. LUCIE, FL 34985-8090
ZIP code: 34986
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477888444 2009-10-08 2020-05-26 PO BOX 8090, PORT ST LUCIE, FL, 349858090, US 501 NW LAKE WHITNEY PL STE 102, PORT ST LUCIE, FL, 349861615, US

Contacts
Phone +1 772-359-0091

Authorized person
Name DR. JAYSHREE MATADIAL
Role PRESIDENT
Phone 7723590091

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
License Number ME77972
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAL LICENCE
Number ME77972
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST INC, 401(K) PROFIT SHARING PLAN AND TRUST 2023 271070549 2024-05-22 GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723373914
Plan sponsor’s address 501 NW LAKE WHITNEY PLACE, STE. 102, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2024-05-22
Name of individual signing JAYSHREE MATADIAL
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST INC, 401(K) PROFIT SHARING PLAN AND TRUST 2022 271070549 2023-06-29 GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723373914
Plan sponsor’s address 501 NW LAKE WHITNEY PLACE, STE. 102, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing JAYSHREE MATADIAL
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST INC, 401(K) PROFIT SHARING PLAN AND TRUST 2021 271070549 2022-06-27 GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723373914
Plan sponsor’s address 501 NW LAKE WHITNEY PLACE, STE. 102, PORT ST. LUCIE, FL, 34986

Signature of
Role Plan administrator
Date 2022-06-27
Name of individual signing JAYSHREE MATADIAL
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST INC, 401(K) PROFIT SHARING PLAN AND TRUST 2020 271070549 2021-10-13 GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST INC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723373914
Plan sponsor’s address 501 NW LAKE WHITNEY PLACE, STE. 102, PORT ST. LUCIE, FL, 34986
GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC., 401(K) PROFIT SHARING PLAN 2019 271070549 2020-04-27 GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723373914
Plan sponsor’s address 1871 S.E. TIFFANY AVENUE, SUITE 120, PORT ST. LUCIE, FL, 349527585

Signature of
Role Plan administrator
Date 2020-04-27
Name of individual signing JAYSHREE MATADIAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-27
Name of individual signing JAYSHREE MATADIAL
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC., 401(K) PROFIT SHARING PLAN 2018 271070549 2019-03-21 GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723373914
Plan sponsor’s address 1871 S.E. TIFFANY AVENUE, SUITE 120, PORT ST. LUCIE, FL, 349527585

Signature of
Role Plan administrator
Date 2019-03-21
Name of individual signing JAYSHREE MATADIAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-21
Name of individual signing JAYSHREE MATADIAL
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC., 401(K) PROFIT SHARING PLAN 2016 271070549 2017-03-09 GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723373914
Plan sponsor’s address 1871 S.E. TIFFANY AVENUE, SUITE 120, PORT ST. LUCIE, FL, 349527585

Signature of
Role Plan administrator
Date 2017-03-09
Name of individual signing JAYSHREE MATADIAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-09
Name of individual signing JAYSHREE MATADIAL
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC., 401(K) PROFIT SHARING PLAN 2015 271070549 2016-07-12 GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723373914
Plan sponsor’s address 1871 S.E. TIFFANY AVENUE, SUITE 120, PORT ST. LUCIE, FL, 349527585

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing JAYSHREE MATADIAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-12
Name of individual signing JAYSHREE MATADIAL
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC., 401(K) PROFIT SHARING PLAN 2014 271070549 2015-02-25 GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723373914
Plan sponsor’s address 1871 S.E. TIFFANY AVENUE, SUITE 120, PORT ST. LUCIE, FL, 349527585

Signature of
Role Plan administrator
Date 2015-02-25
Name of individual signing JAYSHREE MATADIAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-02-25
Name of individual signing JAYSHREE MATADIAL
Valid signature Filed with authorized/valid electronic signature
GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC., 401(K) PROFIT SHARING PLAN 2013 271070549 2014-03-20 GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 7723373914
Plan sponsor’s address 1871 S.E. TIFFANY AVENUE, SUITE 120, PORT ST. LUCIE, FL, 349527585

Signature of
Role Plan administrator
Date 2014-03-20
Name of individual signing JAYSHREE MATADIAL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-20
Name of individual signing JAYSHREE MATADIAL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MATADIAL, JAYSHREE MD Agent 836 GRAND RESERVES BLVD, PORT S LUCIE, FL 34986

DR.

Name Role Address
MATADIAL, JAYSHREE DR. 501 NW Lake Whitney Place, Suite 102 Port St. Lucie, FL 34986

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-06-05 501 NW Lake Whitney Place, Suite 102, PORT ST LUCIE, FL 34986 No data
ARTICLES OF CORRECT-ION/NAME CHANGE 2009-10-20 GASTROENTEROLOGY SPECIALIST OF THE TREASURE COAST, INC. No data
CHANGE OF MAILING ADDRESS 2009-10-20 501 NW Lake Whitney Place, Suite 102, PORT ST LUCIE, FL 34986 No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-01-09
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-15
ANNUAL REPORT 2015-01-13

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 25 Jan 2025

Sources: Florida Department of State

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