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GROVE & DIBETTA, PLLC

Company Details

Entity Name: GROVE & DIBETTA, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Apr 2015 (10 years ago)
Last Event: LC AMENDED/RESTATED ARTICLE/NAME CHANGE
Event Date Filed: 11 Jun 2015 (10 years ago)
Document Number: L15000058855
FEI/EIN Number 47-4264215
Address: 6150 SR 70 East, Bradenton, FL, 34203, US
Mail Address: 12020 Seminole Blvd, Largo, FL, 33778, US
ZIP code: 34203
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497131692 2015-08-11 2020-07-17 6150 STATE ROAD 70 E, BRADENTON, FL, 342039712, US 6150 STATE ROAD 70 E, BRADENTON, FL, 342039712, US

Contacts

Phone +1 941-822-8777

Authorized person

Name JEFFREY S GROVE
Role MEMBER
Phone 7275889572

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GROVE & DIBETTA, PLLC 401(K) PLAN 2023 474264215 2024-04-09 GROVE & DIBETTA, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-02-01
Business code 621111
Sponsor’s telephone number 9418228777
Plan sponsor’s address 6050 SR 70 E, BRADENTON, FL, 34203

Signature of

Role Plan administrator
Date 2024-04-09
Name of individual signing EUGENE DIBETTA
Valid signature Filed with authorized/valid electronic signature
GROVE & DIBETTA, PLLC 401(K) PLAN 2022 474264215 2023-07-07 GROVE & DIBETTA, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-02-01
Business code 621111
Sponsor’s telephone number 9418228777
Plan sponsor’s address 6050 SR 70 E, BRADENTON, FL, 34203

Signature of

Role Plan administrator
Date 2023-07-07
Name of individual signing EUGENE DIBETTA
Valid signature Filed with authorized/valid electronic signature
GROVE & DIBETTA, PLLC 401(K) PLAN 2021 474264215 2022-10-12 GROVE & DIBETTA, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-02-01
Business code 621111
Sponsor’s telephone number 9418228777
Plan sponsor’s address 6050 SR 70 E, BRADENTON, FL, 34203

Signature of

Role Plan administrator
Date 2022-10-12
Name of individual signing TERI MEREDITH
Valid signature Filed with authorized/valid electronic signature
GROVE & DIBETTA, PLLC 401K PLAN 2020 474264215 2021-07-19 GROVE & DIBETTA, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-02-01
Business code 621111
Sponsor’s telephone number 9418228777
Plan sponsor’s address 6150 STATE ROAD 70 E, BRADENTON, FL, 34203

Signature of

Role Plan administrator
Date 2021-07-19
Name of individual signing EUGENE M DIBETTA, DO
Valid signature Filed with authorized/valid electronic signature
GROVE & DIBETTA, PLLC 401K PLAN 2019 474264215 2020-07-27 GROVE & DIBETTA, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-02-01
Business code 621111
Sponsor’s telephone number 9418228777
Plan sponsor’s address 6150 STATE ROAD 70 E, BRADENTON, FL, 34203

Signature of

Role Plan administrator
Date 2020-07-27
Name of individual signing EUGENE M DIBETTA, DO
Valid signature Filed with authorized/valid electronic signature
GROVE & DIBETTA, PLLC 401K PLAN 2018 474264215 2019-07-16 GROVE & DIBETTA, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-02-01
Business code 621111
Sponsor’s telephone number 9418228777
Plan sponsor’s address 6150 STATE ROAD 70 E, BRADENTON, FL, 34203

Signature of

Role Plan administrator
Date 2019-07-16
Name of individual signing EUGENE M DIBETTA, DO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GROVE JEFFREY SD.O. Agent 12020 Seminole Blvd, Largo, FL, 33778

Managing Member

Name Role Address
GROVE JEFFREY SD.O. Managing Member 12020 Seminole Blvd, Largo, FL, 33778
DIBETTA EUGENE MD.O. Managing Member 12020 Seminole Blvd, Largo, FL, 33778
DIBETTA MICHELLE RD.O. Managing Member 12020 Seminole Blvd, Largo, FL, 33778

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000089418 FAMILY DOCTORS OF BRADENTON ACTIVE 2020-07-27 2025-12-31 No data 6150 SR 70 E, BRADENTON, FL, 34203
G15000079004 IMMEDIATE MEDCARE & FAMILY DOCTORS OF BRADENTON EXPIRED 2015-07-30 2020-12-31 No data 6150 STATE RD 70 EAST, BRADENTON, FL, 34203

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2020-06-29 6150 SR 70 East, Bradenton, FL 34203 No data
REGISTERED AGENT ADDRESS CHANGED 2020-06-29 12020 Seminole Blvd, Largo, FL 33778 No data
CHANGE OF PRINCIPAL ADDRESS 2018-04-16 6150 SR 70 East, Bradenton, FL 34203 No data
LC AMENDED/RESTATED ARTICLE/NAME CHANGE 2015-06-11 GROVE & DIBETTA, PLLC No data

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-03-11
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-29
LC Amended/Restated Article/NC 2015-06-11

Date of last update: 02 Feb 2025

Sources: Florida Department of State