| Entity Name: | CITRUS UROLOGY ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CITRUS UROLOGY ASSOCIATES, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 01 Oct 1978 (47 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 01 Dec 1998 (26 years ago) |
| Document Number: | 588343 |
| FEI/EIN Number |
591842276
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 609 W. HIGHLAND BLVD., INVERNESS, FL, 34452-4638, US |
| Mail Address: | 609 W. HIGHLAND BLVD., INVERNESS, FL, 34452-4638, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619949294 | 2006-02-07 | 2008-08-15 | 1210 WATERMAN WAY, TAVARES, FL, 327785229, US | 1210 WATERMAN WAY, TAVARES, FL, 327785229, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-742-2201 |
| Fax | 3527422226 |
Authorized person
| Name | DR. CHARLES K CARTWRIGHT |
| Role | DIRECTOR |
| Phone | 3527422201 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| License Number | 10D1018775 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DA4769 |
| State | FL |
| Issuer | MEDICAID |
| Number | 0604763000 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHEILD |
| Number | 98224 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CITRUS UROLOGY ASSOCIATES, P.A. 401(K) PLAN | 2010 | 591842276 | 2011-10-14 | CITRUS UROLOGY ASSOCIATES, P.A. | 38 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 591842276 |
| Plan administrator’s name | CITRUS UROLOGY ASSOCIATES, P.A. |
| Plan administrator’s address | 12109 COUNTY ROAD 103, OXFORD, FL, 34484 |
| Administrator’s telephone number | 3523916000 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-14 |
| Name of individual signing | TATIANA POMBO |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-10-14 |
| Name of individual signing | TATIANA POMBO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1978-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3523916000 |
| Plan sponsor’s address | 12109 COUNTY ROAD 103, OXFORD, FL, 34484 |
Plan administrator’s name and address
| Administrator’s EIN | 591842276 |
| Plan administrator’s name | CITRUS UROLOGY ASSOCIATES, P.A. |
| Plan administrator’s address | 12109 COUNTY ROAD 103, OXFORD, FL, 34484 |
| Administrator’s telephone number | 3523916000 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-13 |
| Name of individual signing | JULIE BURGESS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DESAUTEL MICHAEL G | President | 609 W HIGHLAND BLVD, INVERNESS, FL, 34452 |
| DESAI PARESHKUMAR G | Vice President | 3264 W AUDUBON PARK PATH, LECANTO, FL, 34461 |
| SENERIZ MANUEL A | Director | 609 W HIGHLAND BLVD, INVERNESS, FL, 34452 |
| KUMAR UDAYA | Director | 3264 W AUDUBON PARK PATH, LECANTO, FL, 34461 |
| Ayyathurai Rajinikanth | Director | 3264 W AUDUBON PARK PATH, LECANTO, FL, 34461 |
| DESAUTEL MICHEAL G | Agent | 609 W. HIGHLAND BLVD., INVERNESS, FL, 326521638 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2012-02-02 | DESAUTEL, MICHEAL G | - |
| MERGER | 1998-12-01 | - | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 700000020467 |
| NAME CHANGE AMENDMENT | 1995-12-08 | CITRUS UROLOGY ASSOCIATES, P.A. | - |
| CHANGE OF PRINCIPAL ADDRESS | 1994-02-16 | 609 W. HIGHLAND BLVD., INVERNESS, FL 34452-4638 | - |
| CHANGE OF MAILING ADDRESS | 1994-02-16 | 609 W. HIGHLAND BLVD., INVERNESS, FL 34452-4638 | - |
| REGISTERED AGENT ADDRESS CHANGED | 1987-02-17 | 609 W. HIGHLAND BLVD., INVERNESS, FL 32652-1638 | - |
| NAME CHANGE AMENDMENT | 1983-10-10 | ALCORN AND STRINGER, M.D., P.A. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-02-09 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-03-05 |
| ANNUAL REPORT | 2019-03-05 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-08 |
Date of last update: 02 May 2025
Sources: Florida Department of State
