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  5. GENE COX, M.D., P.A.

GENE COX, M.D., P.A.

Company Details

Entity Name: GENE COX, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 01 Feb 1976 (49 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: 496161
FEI/EIN Number 59-1646220
Address: 3594 S. BROADWAY, SUITE H, FT. MYERS, FL 33901
Mail Address: 3594 S. BROADWAY, SUITE H, FT. MYERS, FL 33901
ZIP code: 33901
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750695698 2010-08-03 2010-08-03 3594 BROADWAY, SUITE H, FORT MYERS, FL, 339018016, US 3594 BROADWAY, SUITE H, FORT MYERS, FL, 339018016, US

Contacts
Phone +1 239-939-0986
Fax 2399391657

Authorized person
Name CHARLES EUGENE COX
Role PRESIDENT
Phone 2399390986

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
License Number ME0018066
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 054223700
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GENE COX, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2015 591646220 2016-03-29 GENE COX, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2399390986
Plan sponsor’s address 3594 SOUTH BROADWAY, SUITE H, FORT MYERS, FL, 33901

Signature of
Role Plan administrator
Date 2016-03-29
Name of individual signing GENE COX, M.D.
Valid signature Filed with authorized/valid electronic signature
GENE COX, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2014 591646220 2015-06-16 GENE COX, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2399390986
Plan sponsor’s address 3594 SOUTH BROADWAY, SUITE H, FORT MYERS, FL, 33901

Signature of
Role Plan administrator
Date 2015-06-16
Name of individual signing GENE COX, M.D.
Valid signature Filed with authorized/valid electronic signature
GENE COX, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2013 591646220 2014-07-25 GENE COX, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2399390986
Plan sponsor’s address 3594 SOUTH BROADWAY, SUITE H, FORT MYERS, FL, 33901

Signature of
Role Plan administrator
Date 2014-07-25
Name of individual signing GENE COX, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-25
Name of individual signing GENE COX, M.D.
Valid signature Filed with authorized/valid electronic signature
GENE COX, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2012 591646220 2013-07-30 GENE COX, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2399390986
Plan sponsor’s address 3594 SOUTH BROADWAY, SUITE H, FORT MYERS, FL, 33901

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing GENE COX, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-30
Name of individual signing GENE COX, M.D.
Valid signature Filed with authorized/valid electronic signature
GENE COX, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2011 591646220 2012-08-13 GENE COX, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2399390986
Plan sponsor’s address 3594 SOUTH BROADWAY, SUITE H, FORT MYERS, FL, 33901

Plan administrator’s name and address
Administrator’s EIN 591646220
Plan administrator’s name GENE COX, M.D., P.A.
Plan administrator’s address 3594 SOUTH BROADWAY, SUITE H, FORT MYERS, FL, 33901
Administrator’s telephone number 2399390986

Signature of
Role Plan administrator
Date 2012-08-13
Name of individual signing GENE COX, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-13
Name of individual signing GENE COX, M.D.
Valid signature Filed with authorized/valid electronic signature
GENE COX, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2010 591646220 2011-06-21 GENE COX, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2399390986
Plan sponsor’s address 3594 SOUTH BROADWAY, SUITE H, FORT MYERS, FL, 33901

Plan administrator’s name and address
Administrator’s EIN 591646220
Plan administrator’s name GENE COX, M.D., P.A.
Plan administrator’s address 3594 SOUTH BROADWAY, SUITE H, FORT MYERS, FL, 33901
Administrator’s telephone number 2399390986

Signature of
Role Plan administrator
Date 2011-06-21
Name of individual signing GENE COX, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-21
Name of individual signing GENE COX, M.D.
Valid signature Filed with authorized/valid electronic signature
GENE COX, M.D., P.A. PROFIT SHARING PLAN AND TRUST 2009 591646220 2010-08-24 GENE COX, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-01-01
Business code 621111
Sponsor’s telephone number 2399390986
Plan sponsor’s address 3594 SOUTH BROADWAY, SUITE H, FORT MYERS, FL, 33901

Plan administrator’s name and address
Administrator’s EIN 591646220
Plan administrator’s name GENE COX, M.D., P.A.
Plan administrator’s address 3594 SOUTH BROADWAY, SUITE H, FORT MYERS, FL, 33901
Administrator’s telephone number 2399390986

Signature of
Role Plan administrator
Date 2010-08-24
Name of individual signing GENE COX, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-24
Name of individual signing GENE COX, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
COX, GENE, M.D. Agent 3594 S. BROADWAY, SUITE H, FT. MYERS, FL 33901

President

Name Role Address
COX, GENE, M.D. President 3594 S. BROADWAY, SUITE H, FT. MYERS, FL 33901

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REGISTERED AGENT ADDRESS CHANGED 2010-03-01 3594 S. BROADWAY, SUITE H, FT. MYERS, FL 33901 No data
CHANGE OF PRINCIPAL ADDRESS 1995-01-31 3594 S. BROADWAY, SUITE H, FT. MYERS, FL 33901 No data
CHANGE OF MAILING ADDRESS 1995-01-31 3594 S. BROADWAY, SUITE H, FT. MYERS, FL 33901 No data

Documents

Name Date
ANNUAL REPORT 2015-01-14
ANNUAL REPORT 2014-01-28
ANNUAL REPORT 2013-02-12
ANNUAL REPORT 2012-02-06
ANNUAL REPORT 2011-02-15
ANNUAL REPORT 2010-03-01
ANNUAL REPORT 2009-02-08
ANNUAL REPORT 2008-03-06
ANNUAL REPORT 2007-01-26
ANNUAL REPORT 2006-02-23

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 06 Feb 2025

Sources: Florida Department of State

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