| Entity Name: | JOHN S. BRUNO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JOHN S. BRUNO, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 20 Jun 1977 (48 years ago) |
| Date of dissolution: | 25 Sep 2015 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (10 years ago) |
| Document Number: | 537541 |
| FEI/EIN Number |
591745972
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 15971 Glenisle way, FT. MYERS, FL, 33912, US |
| Mail Address: | 15971 Glenisle way, FT. MYERS, FL, 33912, US |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790066967 | 2011-09-01 | 2011-09-01 | 2685 SWAMP CABBAGE CT, FORT MYERS, FL, 339019331, US | 2685 SWAMP CABBAGE CT, FORT MYERS, FL, 339019331, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 239-936-2522 |
| Fax | 2399367831 |
Authorized person
| Name | DR. JOHN S. BRUNO |
| Role | PRESIDENT |
| Phone | 2399362522 |
Taxonomy
| Taxonomy Code | 2086S0122X - Plastic and Reconstructive Surgery Physician |
| License Number | ME13183 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | WELLCARE |
| Number | 15670 |
| State | FL |
| Issuer | MEDICARE RAILROAD |
| Number | 242907206 |
| State | FL |
| Issuer | MEDICARE |
| Number | 78251 |
| State | FL |
| Issuer | MEDICAID |
| Number | 055527400 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN S. BRUNO, M.D., P.A., 401(K) PROFIT SHARING PLAN AND TRUST | 2013 | 591745972 | 2015-01-19 | JOHN S. BRUNO, M.D., P.A. | 3 | |||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-01-19 |
| Name of individual signing | JOHN BRUNO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2015-01-19 |
| Name of individual signing | JOHN BRUNO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1977-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2399362522 |
| Plan sponsor’s address | 15971 GLEN ISLE WAY, FORT MYERS, FL, 33912 |
Signature of
| Role | Plan administrator |
| Date | 2014-04-15 |
| Name of individual signing | JOHN BRUNO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2014-04-15 |
| Name of individual signing | JOHN BRUNO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1977-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2399362522 |
| Plan sponsor’s address | 2685 SWAMP CABBAGE COURT, FORT MYERS, FL, 33901 |
Plan administrator’s name and address
| Administrator’s EIN | 591745972 |
| Plan administrator’s name | JOHN S. BRUNO, M.D., P.A. |
| Plan administrator’s address | 2685 SWAMP CABBAGE COURT, FORT MYERS, FL, 33901 |
| Administrator’s telephone number | 2399362522 |
Signature of
| Role | Plan administrator |
| Date | 2013-04-15 |
| Name of individual signing | JOHN BRUNO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-04-15 |
| Name of individual signing | JOHN BRUNO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1977-07-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2399362522 |
| Plan sponsor’s address | 2685 SWAMP CABBAGE COURT, FORT MYERS, FL, 33901 |
Plan administrator’s name and address
| Administrator’s EIN | 591745972 |
| Plan administrator’s name | JOHN S. BRUNO, M.D., P.A. |
| Plan administrator’s address | 2685 SWAMP CABBAGE COURT, FORT MYERS, FL, 33901 |
| Administrator’s telephone number | 2399362522 |
Signature of
| Role | Plan administrator |
| Date | 2012-04-13 |
| Name of individual signing | JOHN BRUNO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-04-13 |
| Name of individual signing | JOHN BRUNO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BRUNO JOHN S | Manager | 15971 Glenisle way, FT. MYERS, FL, 33912 |
| BRUNO JOHN S | Director | 15971 Glenisle way, FT. MYERS, FL, 33912 |
| BRUNO JOHN S | Agent | 15971 Glenisle way, FT. MYERS, FL, 33912 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| AMENDMENT | 2014-08-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-27 | 15971 Glenisle way, FT. MYERS, FL 33912 | - |
| CHANGE OF MAILING ADDRESS | 2014-03-27 | 15971 Glenisle way, FT. MYERS, FL 33912 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-20 | 15971 Glenisle way, FT. MYERS, FL 33912 | - |
| REGISTERED AGENT NAME CHANGED | 2008-01-08 | BRUNO, JOHN SPRES. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-03-27 |
| ANNUAL REPORT | 2013-01-20 |
| ANNUAL REPORT | 2012-01-11 |
| ANNUAL REPORT | 2011-01-10 |
| ANNUAL REPORT | 2010-01-21 |
| ANNUAL REPORT | 2009-01-19 |
| ANNUAL REPORT | 2008-01-08 |
| ANNUAL REPORT | 2007-04-02 |
| ANNUAL REPORT | 2006-02-27 |
| ANNUAL REPORT | 2005-01-29 |
Date of last update: 01 May 2025
Sources: Florida Department of State
