Menu
Search icon

MICHAEL E. LUSTGARTEN, M.D., P.A. - Florida Company Profile

Company Details

Entity Name: MICHAEL E. LUSTGARTEN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

MICHAEL E. LUSTGARTEN, 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: 29 Sep 1982 (43 years ago)
Date of dissolution: 09 Feb 2023 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 09 Feb 2023 (2 years ago)
Document Number: G01749
FEI/EIN Number 592215873

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: MICHAEL E. LUSTGARTEN, 834 E. OCEAN BLVD., STUART, FL, 34994-2434
Mail Address: 3631 SE DOUBLETON DR, Stuart, FL, 34997-5621, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588938484 2012-02-24 2012-02-24 834 E OCEAN BLVD, STUART, FL, 349942428, US 834 E OCEAN BLVD, STUART, FL, 349942428, US

Contacts
Phone +1 772-286-2950
Fax 7722862339

Authorized person
Name DR. MICHAEL E. LUSTGARTEN
Role OWNER
Phone 7722862950

Taxonomy
Taxonomy Code 208800000X - Urology Physician
License Number ME0036091
State FL
Is Primary Yes

Other Provider Identifiers
Issuer RAIL ROAD MEDICARE
Number 340000180
State FL
Issuer MEDICAID
Number 065662300
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHAEL E. LUSTGARTEN, M.D., P.A., 401(K) PROFIT SHARING PLAN 2019 592215873 2020-08-21 MICHAEL E. LUSTGARTEN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 7722862950
Plan sponsor’s address 834 EAST OCEAN BOULEVARD, STUART, FL, 349942428

Signature of
Role Plan administrator
Date 2020-08-21
Name of individual signing MICHAEL LUSTGARTEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-21
Name of individual signing MICHAEL LUSTGARTEN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LUSTGARTEN, M.D., P.A., 401(K) PROFIT SHARING PLAN 2018 592215873 2019-08-27 MICHAEL E. LUSTGARTEN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 7722862950
Plan sponsor’s address 834 EAST OCEAN BOULEVARD, STUART, FL, 349942428

Signature of
Role Plan administrator
Date 2019-08-27
Name of individual signing MICHAEL LUSTGARTEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-27
Name of individual signing MICHAEL LUSTGARTEN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LUSTGARTEN, M.D., P.A., 401(K) PROFIT SHARING PLAN 2017 592215873 2018-06-06 MICHAEL E. LUSTGARTEN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 7722862950
Plan sponsor’s address 834 EAST OCEAN BOULEVARD, STUART, FL, 349942428

Signature of
Role Plan administrator
Date 2018-06-06
Name of individual signing MICHAEL LUSTGARTEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-06
Name of individual signing MICHAEL LUSTGARTEN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LUSTGARTEN, M.D., P.A., 401(K) PROFIT SHARING PLAN 2016 592215873 2017-07-17 MICHAEL E. LUSTGARTEN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 7722862950
Plan sponsor’s address 834 EAST OCEAN BOULEVARD, STUART, FL, 349942428

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing MICHAEL LUSTGARTEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-17
Name of individual signing MICHAEL LUSTGARTEN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LUSTGARTEN, M.D., P.A., 401(K) PROFIT SHARING PLAN 2015 592215873 2016-07-11 MICHAEL E. LUSTGARTEN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 7722862950
Plan sponsor’s address 834 EAST OCEAN BOULEVARD, STUART, FL, 349942428

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing MICHAEL LUSTGARTEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-11
Name of individual signing MICHAEL LUSTGARTEN
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LUSTGARTEN, M.D., P.A., 401(K) PROFIT SHARING PLAN 2014 592215873 2015-09-03 MICHAEL E. LUSTGARTEN, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 7722862950
Plan sponsor’s address 834 EAST OCEAN BOULEVARD, STUART, FL, 349942428

Signature of
Role Plan administrator
Date 2015-09-03
Name of individual signing MICHAEL E LUSTGARTEN, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-03
Name of individual signing MICHAEL E LUSTGARTEN, MD
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LUSTGARTEN, M.D., P.A., 401(K) PROFIT SHARING PLAN 2013 592215873 2014-03-31 MICHAEL E. LUSTGARTEN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 7722862950
Plan sponsor’s address 834 EAST OCEAN BOULEVARD, STUART, FL, 349942428

Signature of
Role Plan administrator
Date 2014-03-31
Name of individual signing MICHAEL E LUSTGARTEN, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-31
Name of individual signing MICHAEL E LUSTGARTEN, MD
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LUSTGARTEN, M.D., P.A., 401(K) PROFIT SHARING PLAN 2012 592215873 2013-04-08 MICHAEL E. LUSTGARTEN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 7722862950
Plan sponsor’s address 834 EAST OCEAN BOULEVARD, STUART, FL, 349942428

Signature of
Role Plan administrator
Date 2013-04-08
Name of individual signing MICHAEL E LUSTGARTEN, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-08
Name of individual signing MICHAEL E LUSTGARTEN, MD
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LUSTGARTEN, M.D., P.A., 401(K) PROFIT SHARING PLAN 2011 592215873 2012-07-16 MICHAEL E. LUSTGARTEN, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 7722862950
Plan sponsor’s address 834 EAST OCEAN BOULEVARD, STUART, FL, 349942428

Plan administrator’s name and address
Administrator’s EIN 592215873
Plan administrator’s name MICHAEL E. LUSTGARTEN, M.D., P.A.
Plan administrator’s address 834 EAST OCEAN BOULEVARD, STUART, FL, 349942428
Administrator’s telephone number 7722862950

Signature of
Role Plan administrator
Date 2012-07-16
Name of individual signing MICHAEL E LUSTGARTEN, MD, PA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-16
Name of individual signing MICHAEL E LUSTGARTEN, MD, PA
Valid signature Filed with authorized/valid electronic signature
MICHAEL E. LUSTGARTEN, M.D., P.A., 401(K) PROFIT SHARING PLAN 2010 592215873 2011-09-19 MICHAEL E. LUSTGARTEN, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-10-01
Business code 621111
Sponsor’s telephone number 7722862950
Plan sponsor’s address 834 EAST OCEAN BOULEVARD, STUART, FL, 349942428

Plan administrator’s name and address
Administrator’s EIN 592215873
Plan administrator’s name MICHAEL E. LUSTGARTEN, M.D., P.A.
Plan administrator’s address 834 EAST OCEAN BOULEVARD, STUART, FL, 349942428
Administrator’s telephone number 7722862950

Signature of
Role Plan administrator
Date 2011-09-19
Name of individual signing MICHAEL LUSTGARTEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-19
Name of individual signing MICHAEL LUSTGARTEN
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
LUSTGARTEN MICHAEL E Director 834 E. OCEAN BLVD., STUART, FL, 34994
LUSTGARTEN MICHAEL E President 834 E. OCEAN BLVD., STUART, FL, 34994
LUSTGARTEN MICHAEL E Agent 834 E. OCEAN BLVD., STUART, FL, 33494

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2023-02-09 - -
CHANGE OF MAILING ADDRESS 2022-01-03 MICHAEL E. LUSTGARTEN, 834 E. OCEAN BLVD., STUART, FL 34994-2434 -
CHANGE OF PRINCIPAL ADDRESS 2011-01-05 MICHAEL E. LUSTGARTEN, 834 E. OCEAN BLVD., STUART, FL 34994-2434 -
REGISTERED AGENT NAME CHANGED 2004-01-29 LUSTGARTEN, MICHAEL E -
REGISTERED AGENT ADDRESS CHANGED 1993-06-22 834 E. OCEAN BLVD., STUART, FL 33494 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2023-02-09
ANNUAL REPORT 2022-01-03
ANNUAL REPORT 2021-01-19
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-12
ANNUAL REPORT 2017-01-13
ANNUAL REPORT 2016-01-04
ANNUAL REPORT 2015-01-09
ANNUAL REPORT 2014-01-07

Companies related by officers

LUSTGARTEN MICHAEL E

KRISDAVE LLC - Inactive
Florida Limited Liability Co. (2006 - 2022)
DAKRIS ENTERPRISES, LLC - Inactive
Florida Limited Liability Co. (2007 - 2022)
DAKRIS ENTERPRISES, INC. - Inactive
Domestic Profit (1990 - 2007)
DAKRIS ENTERPRISES, INC. - Inactive
Domestic Profit (1990 - 2007)

Companies related by address

3631 SE DOUBLETON DR, Stuart, FL, 34997-5621, US

KRISDAVE LLC

Date of last update: 03 Apr 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated