| Entity Name: | SUNCOAST INTERNAL MEDICINE CONSULTANTS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SUNCOAST INTERNAL MEDICINE CONSULTANTS, 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: | 24 Oct 1969 (55 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Nov 2013 (11 years ago) |
| Document Number: | 601586 |
| FEI/EIN Number |
591273247
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 13644 WALSINGHAM RD., LARGO, FL, 33774, US |
| Mail Address: | 13644 WALSINGHAM RD., LARGO, FL, 33774, US |
| ZIP code: | 33774 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710031984 | 2007-01-23 | 2012-05-30 | 13644 WALSINGHAM ROAD, S.R. #688, LARGO, FL, 337743532, US | 13644 WALSINGHAM ROAD, S.R. #688, LARGO, FL, 337743532, US | |||||||||||||||||||||||||||||||
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| Phone | +1 727-595-2519 |
| Fax | 7274790485 |
Authorized person
| Name | DR. SUSAN L ZITO |
| Role | GENERAL PRACTITIONER/PARTNER |
| Phone | 7275952519 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 77021 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 059638800 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | CK1058 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUNCOAST INTERNAL MEDICINE CONSULTANTS, P.A. 401(K) PROFIT SHARING PLAN | 2009 | 591273247 | 2010-07-29 | SUNCOAST INTERNAL MEDICINE CONSULTANTS, P.A. | 49 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 591273247 |
| Plan administrator’s name | SUNCOAST INTERNAL MEDICINE CONSULTANTS, P.A. |
| Plan administrator’s address | 13644 WALSINGHAM ROAD, LARGO, FL, 33774 |
| Administrator’s telephone number | 7275952519 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-29 |
| Name of individual signing | ANTHONY N. OTTAVIANI, D.O. |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-07-29 |
| Name of individual signing | ANTHONY N. OTTAVIANI, D.O. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DIGIOVANNI ROBERT L | President | 13644 WASHINGHAM ROAD, LARGO, FL, 33774 |
| MAXFIELD DANE L | TDSD | 13644 WASHINGHAM ROAD, LARGO, FL, 33774 |
| Marquardt J. Matthew Esq. | Agent | 625 Court Street, Clearwater, FL, 33756 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-07 | 13644 WALSINGHAM RD., LARGO, FL 33774 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-07 | 625 Court Street, Suite 200, Clearwater, FL 33756 | - |
| REGISTERED AGENT NAME CHANGED | 2014-01-07 | Marquardt, J. Matthew, Esq. | - |
| CHANGE OF MAILING ADDRESS | 2014-01-07 | 13644 WALSINGHAM RD., LARGO, FL 33774 | - |
| REINSTATEMENT | 2013-11-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| NAME CHANGE AMENDMENT | 1997-09-03 | SUNCOAST INTERNAL MEDICINE CONSULTANTS, P.A. | - |
| NAME CHANGE AMENDMENT | 1979-08-21 | SUNCOAST INTERNAL MEDICINE CONSULTANTS, DRS. KOTSCH, WINGFIELD, KUDELKO, OTTAVIANI AND MAXFIELD, D.O. PROFESSIONAL ASSOCIATION | - |
| NAME CHANGE AMENDMENT | 1972-08-29 | GEORGE KOTSCH, D.O., C. DAVID WINGFIELD, D.0., AND PAUL E. KUDELKO D.O., PROFESSIONAL ASSOCIATION | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000361370 | LAPSED | 17-000110-CI | PINELLAS COUNTY, FL | 2017-06-19 | 2022-06-26 | $2,285,206.80 | ASD SPECIALTY HEALTHCARE, INC. DBA BESSE MEDICAL SUPPLY, 9075 CENTRE POINTE DRIVE, SUITE 140, WEST CHESTER, OH 45069 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-02-27 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-04-14 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9542057004 | 2020-04-09 | 0455 | PPP | 13644 WALSINGHAM ROAD, LARGO, FL, 33774-3532 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
