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  5. GOROVOY M.D. EYE SPECIALISTS, P.A.

GOROVOY M.D. EYE SPECIALISTS, P.A.

Company Details

Entity Name: GOROVOY M.D. EYE SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 17 Apr 1969 (56 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 12 Aug 2004 (20 years ago)
Document Number: 600947
FEI/EIN Number 59-1261243
Address: 12381 SOUTH CLEVELAND AVE., SUITE 300, FT. MYERS, FL 33907
Mail Address: 12381 SOUTH CLEVELAND AVENUE, SUITE 300, FORT MYERS, FL 33907
ZIP code: 33907
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568465573 2005-05-23 2011-08-26 12381 S CLEVELAND AVE, STE 300, FORT MYERS, FL, 339073852, US 12381 S CLEVELAND AVE, STE 300, FORT MYERS, FL, 339073852, US

Contacts
Phone +1 239-939-1444
Fax 2399367710

Authorized person
Name MARK S. GOROVOY
Role MEDICAL DOCTOR/PRESIDENT
Phone 2399391444

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
License Number 840342
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICARE GROUP
Number K0328
State FL
Issuer MEDICAID
Number 066657200
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GOROVOY M.D. EYE SPECIALISTS PROFIT SHARING PLAN 2022 591261243 2023-04-24 GOROVOY M.D. EYE SPECIALISTS, P.A. 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-03-01
Business code 621111
Sponsor’s telephone number 2399391444
Plan sponsor’s address 12381 S CLEVELAND AVENUE SUITE 300, FT. MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2023-04-24
Name of individual signing MARK GOROVOY
Valid signature Filed with authorized/valid electronic signature
GOROVOY M.D. EYE SPECIALISTS PROFIT SHARING PLAN 2021 591261243 2022-05-04 GOROVOY M.D. EYE SPECIALISTS, P.A. 49
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-03-01
Business code 621111
Sponsor’s telephone number 2399391444
Plan sponsor’s address 12381 S CLEVELAND AVENUE SUITE 300, FT. MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2022-05-04
Name of individual signing MARK GOROVOY
Valid signature Filed with authorized/valid electronic signature
GOROVOY M.D. EYE SPECIALISTS PROFIT SHARING PLAN 2020 591261243 2021-04-21 GOROVOY M.D. EYE SPECIALISTS, P.A. 51
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-03-01
Business code 621111
Sponsor’s telephone number 2399391444
Plan sponsor’s address 12381 S CLEVELAND AVENUE SUITE 300, FT. MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2021-04-21
Name of individual signing MARK GOROVOY
Valid signature Filed with authorized/valid electronic signature
GOROVOY M.D. EYE SPECIALISTS PROFIT SHARING PLAN 2019 591261243 2020-08-13 GOROVOY M.D. EYE SPECIALISTS, P.A. 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-03-01
Business code 621111
Sponsor’s telephone number 2399391444
Plan sponsor’s address 12381 S CLEVELAND AVENUE SUITE 300, FT. MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2020-08-13
Name of individual signing MARK GOROVOY
Valid signature Filed with authorized/valid electronic signature
GOROVOY M.D. EYE SPECIALISTS PROFIT SHARING PLAN 2018 591261243 2019-05-21 GOROVOY M.D. EYE SPECIALISTS, P.A. 49
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-03-01
Business code 621111
Sponsor’s telephone number 2399391444
Plan sponsor’s address 12381 S CLEVELAND AVENUE SUITE 300, FT. MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2019-05-20
Name of individual signing MARK GOROVOY
Valid signature Filed with authorized/valid electronic signature
GOROVOY M.D. EYE SPECIALISTS PROFIT SHARING PLAN 2017 591261243 2018-05-17 GOROVOY M.D. EYE SPECIALISTS, P.A. 46
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-03-01
Business code 621111
Sponsor’s telephone number 2399391444
Plan sponsor’s address 12381 S CLEVELAND AVENUE SUITE 300, FT. MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2018-05-17
Name of individual signing MARK GOROVOY
Valid signature Filed with authorized/valid electronic signature
GOROVOY M.D. EYE SPECIALISTS PROFIT SHARING PLAN 2016 591261243 2017-04-04 GOROVOY M.D. EYE SPECIALISTS, P.A. 42
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1987-03-01
Business code 621111
Sponsor’s telephone number 2399391444
Plan sponsor’s address 12381 S CLEVELAND AVENUE SUITE 300, FT. MYERS, FL, 33907

Signature of
Role Plan administrator
Date 2017-04-04
Name of individual signing MARK GOROVOY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GOROVOY, MARK SM. D. Agent 12381 SOUTH CLEVELAND AVE, SUITE 300, FORT MYERS, FL 33907

President

Name Role Address
GOROVOY, MARK S President 12381 SOUTH CLEVELAND AVE , STE 300, FORT MYERS, FL 33907

Secretary

Name Role Address
GOROVOY, MARK S Secretary 12381 SOUTH CLEVELAND AVE , STE 300, FORT MYERS, FL 33907

Treasurer

Name Role Address
GOROVOY, MARK S Treasurer 12381 SOUTH CLEVELAND AVE , STE 300, FORT MYERS, FL 33907

Director

Name Role Address
GOROVOY, MARK S Director 12381 SOUTH CLEVELAND AVE , STE 300, FORT MYERS, FL 33907

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2010-01-04 GOROVOY, MARK SM. D. No data
CHANGE OF MAILING ADDRESS 2010-01-04 12381 SOUTH CLEVELAND AVE., SUITE 300, FT. MYERS, FL 33907 No data
CHANGE OF PRINCIPAL ADDRESS 2004-08-12 12381 SOUTH CLEVELAND AVE., SUITE 300, FT. MYERS, FL 33907 No data
NAME CHANGE AMENDMENT 2004-08-12 GOROVOY M.D. EYE SPECIALISTS, P.A. No data
REGISTERED AGENT ADDRESS CHANGED 2004-08-12 12381 SOUTH CLEVELAND AVE, SUITE 300, FORT MYERS, FL 33907 No data
NAME CHANGE AMENDMENT 2000-08-01 GOROVOY & SMITH, M.D.'S, P.A. No data
NAME CHANGE AMENDMENT 1987-02-05 BEEHLER AND GOROVOY, M.D.'S, P.A. No data

Documents

Name Date
ANNUAL REPORT 2025-01-21
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-02-27
ANNUAL REPORT 2022-01-18
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-02
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-01-18

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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