Entity Name: | GENTLE CARE OB GYN AND INFERTILITY CORP. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 30 May 2013 (12 years ago) |
Date of dissolution: | 28 Sep 2018 (6 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2018 (6 years ago) |
Document Number: | P13000047951 |
FEI/EIN Number | 32-0407986 |
Address: | 3615 CENTRAL AVE, SUITE 7, FORT MYERS, FL 33901 |
Mail Address: | 3615 CENTRAL AVE, SUITE 7, FORT MYERS, FL 33901 |
ZIP code: | 33901 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1821420845 | 2013-08-01 | 2013-10-08 | 3615 CENTRAL AVE STE 7, FORT MYERS, FL, 339018257, US | 3615 CENTRAL AVE STE 7, FORT MYERS, FL, 339018257, US | |||||||||||||||||||||||||
|
Phone | +1 239-939-3100 |
Fax | 2399393104 |
Authorized person
Name | DR. NORRIS MICHAEL ALLEN |
Role | PRESIDENT/CEO |
Phone | 2399393100 |
Taxonomy
Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
License Number | ME100568 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 280134500 |
State | FL |
Name | Role | Address |
---|---|---|
ALLEN, NORRIS M, MD | Agent | 3615 Central Ave, Ste 7, FORT MYERS, FL 33901 |
Name | Role | Address |
---|---|---|
ALLEN, NORRIS M, MD | Chief Executive Officer | 3615 Central Ave, 7 FORT MYERS, FL 33901 |
Name | Role | Address |
---|---|---|
Parisse, marie Jessica | OfficeManager | 3615 Central Ave, Ste 7 Fort Myers, FL 33901 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2017-10-05 | 3615 Central Ave, Ste 7, FORT MYERS, FL 33901 | No data |
REINSTATEMENT | 2017-10-05 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2016-02-01 | ALLEN, NORRIS M, MD | No data |
REINSTATEMENT | 2016-02-01 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
NAME CHANGE AMENDMENT | 2013-07-29 | GENTLE CARE OB GYN AND INFERTILITY CORP. | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J21000357164 | ACTIVE | 1000000871291 | LEE | 2020-12-22 | 2031-07-21 | $ 433.33 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871 |
Name | Date |
---|---|
REINSTATEMENT | 2017-10-05 |
REINSTATEMENT | 2016-02-01 |
ANNUAL REPORT | 2014-02-13 |
Name Change | 2013-07-29 |
Domestic Profit | 2013-05-30 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State