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MARTIN B. GROSSMAN, M.D., P.A.

Company Details

Entity Name: MARTIN B. GROSSMAN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 12 Feb 1962 (63 years ago)
Document Number: 600111
FEI/EIN Number 590965172
Address: 21097 NE 27TH CT, SUITE 210, AVENTURA, FL, 33180
Mail Address: 21097 NE 27TH CT, SUITE 210, AVENTURA, FL, 33180
ZIP code: 33180
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARTIN B. GROSSMAN, M.D., P.A. PROFIT SHARING PLAN 2015 590965172 2016-05-24 MARTIN B. GROSSMAN, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1963-08-01
Business code 621111
Sponsor’s telephone number 3059362565
Plan sponsor’s address 21097 NE 27TH COURT, SUITE 210, AVENTURA, FL, 33180
MARTIN B. GROSSMAN, M.D., P.A. PROFIT SHARING PLAN 2014 590965172 2015-04-09 MARTIN B. GROSSMAN, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1963-08-01
Business code 621111
Sponsor’s telephone number 3059362565
Plan sponsor’s address 21097 NE 27TH COURT, SUITE 210, AVENTURA, FL, 33180

Signature of

Role Plan administrator
Date 2015-04-09
Name of individual signing MARTIN B. GROSSMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
MARTIN B. GROSSMAN, M.D., P.A. PROFIT SHARING PLAN 2013 590965172 2014-10-09 MARTIN B. GROSSMAN, M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1963-08-01
Business code 621111
Sponsor’s telephone number 3059362565
Plan sponsor’s address 21097 NE 27TH COURT, SUITE 210, AVENTURA, FL, 33180

Signature of

Role Plan administrator
Date 2014-10-09
Name of individual signing MARTIN B. GROSSMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
MARTIN B. GROSSMAN, M.D., P.A. PROFIT SHARING PLAN 2012 590965172 2013-10-15 MARTIN B. GROSSMAN, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1963-08-01
Business code 621111
Sponsor’s telephone number 3059362565
Plan sponsor’s address 21097 NE 27TH COURT, AVENTURA, FL, 33180

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing MARTIN B. GROSSMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
MARTIN B. GROSSMAN, M.D., P.A. PROFIT SHARING PLAN 2011 590965172 2012-10-11 MARTIN B. GROSSMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1963-08-01
Business code 621111
Sponsor’s telephone number 3059362565
Plan sponsor’s address 21097 NE 27TH COURT, AVENTURA, FL, 33180

Plan administrator’s name and address

Administrator’s EIN 590965172
Plan administrator’s name MARTIN B. GROSSMAN, M.D., P.A.
Plan administrator’s address 21097 NE 27TH COURT, AVENTURA, FL, 33180
Administrator’s telephone number 3059362565

Signature of

Role Plan administrator
Date 2012-10-11
Name of individual signing MARTIN B. GROSSMAN, M.D.
Valid signature Filed with authorized/valid electronic signature
MARTIN B. GROSSMAN, M.D., P.A. PROFIT SHARING PLAN 2010 590965172 2011-10-13 MARTIN B. GROSSMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1963-08-01
Business code 621111
Sponsor’s telephone number 3059362565
Plan sponsor’s address 21097 NE 27TH CT, 210, AVENTURA, FL, 331801202

Plan administrator’s name and address

Administrator’s EIN 590965172
Plan administrator’s name MARTIN B. GROSSMAN, M.D., P.A.
Plan administrator’s address 21097 NE 27TH CT, 210, AVENTURA, FL, 331801202
Administrator’s telephone number 3059362565

Signature of

Role Plan administrator
Date 2011-10-13
Name of individual signing MARTIN B. GROSSMAN, M.D
Valid signature Filed with authorized/valid electronic signature
MARTIN B. GROSSMAN, M.D., P.A. PROFIT SHARING PLAN 2009 590965172 2010-09-27 MARTIN B. GROSSMAN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1963-08-01
Business code 621111
Sponsor’s telephone number 3059362565
Plan sponsor’s address 21097 NE 27TH CT, 210, AVENTURA, FL, 331801202

Plan administrator’s name and address

Administrator’s EIN 590965172
Plan administrator’s name MARTIN B. GROSSMAN, M.D., P.A.
Plan administrator’s address 21097 NE 27TH CT, 210, AVENTURA, FL, 331801202
Administrator’s telephone number 3059362565

Signature of

Role Plan administrator
Date 2010-09-27
Name of individual signing MARTIN B. GROSSMAN, M.D
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GROSSMAN STUART I Agent 201 S. BISCAYNE BOULEVARD, MIAMI, FL, 331310710

President

Name Role Address
GROSSMAN, MARTIN President 21097 NE 27TH COURT, SUITE 210, AVENTURA, FL, 33180

Officer

Name Role Address
Grossman David BM.D. Officer 21097 NE 27TH CT, AVENTURA, FL, 33180

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000095984 GENERAL SURGICAL ASSOCIATES OF SOUTH FLORIDA EXPIRED 2016-09-03 2021-12-31 No data 21097 NE 27TH COURT, SUITE 210, AVENTURA, FL, 33180
G08168900316 GENERAL SURGICAL ASSOCIATES OF SOUTH FLORIDA EXPIRED 2008-06-16 2013-12-31 No data 20950 NE 27TH COURT, SUITE 302, AVENTURA, FL, 33180

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
REINSTATEMENT 1985-04-24 No data No data
INVOLUNTARILY DISSOLVED 1984-11-21 No data No data
REINSTATEMENT 1982-02-24 No data No data
INVOLUNTARILY DISSOLVED 1981-12-16 No data No data
NAME CHANGE AMENDMENT 1981-02-27 MARTIN B. GROSSMAN, M.D., P.A. No data
NAME CHANGE AMENDMENT 1978-07-14 DRS. DROSD & GROSSMAN, P.A. No data
NAME CHANGE AMENDMENT 1973-08-16 RUDOLPH E. DROSD, M.D., P.A. No data
NAME CHANGE AMENDMENT 1962-03-16 DRS. DROSD & SHOCKET PROFESSIONAL ASSOCIATION No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State