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  5. MOHAN S. GULATI, M.D., P.A.

MOHAN S. GULATI, M.D., P.A.

Company Details

Entity Name: MOHAN S. GULATI, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 29 Apr 2002 (23 years ago)
Document Number: P02000046958
FEI/EIN Number 020598214
Address: 5305 GREENWOOD AVE, SUITE 203, WEST PALM BEACH, FL, 33407, US
Mail Address: 5305 GREENWOOD AVE, SUITE 203, WEST PALM BEACH, FL, 33407, US
ZIP code: 33407
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215053731 2007-03-22 2012-06-15 5305 GREENWOOD AVE, SUITE 203, WEST PALM BEACH, FL, 334072449, US 5305 GREENWOOD AVE, SUITE 203, WEST PALM BEACH, FL, 334072449, US

Contacts
Phone +1 561-641-8787
Fax 5616411121

Authorized person
Name DR. MOHAN S GULATI
Role DIRECTOR
Phone 5616418787

Taxonomy
Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number ME69967
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOHAN S. GULATI, M.D., P.A., 401(K) PROFIT SHARING PLAN 2021 020598214 2022-07-20 MOHAN S. GULATI, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5616418787
Plan sponsor’s address 5305 GREENWOOD AVE, STE 203, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2022-07-20
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
MOHAN S. GULATI, M.D., P.A., 401(K) PROFIT SHARING PLAN 2021 020598214 2022-06-20 MOHAN S. GULATI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 541990
Sponsor’s telephone number 5616418787
Plan sponsor’s address 5305 GREENWOOD AVE, STE 203, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2022-06-20
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
MOHAN S. GULATI, M.D., P.A., 401(K) PROFIT SHARING PLAN 2019 020598214 2020-04-15 MOHAN S. GULATI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5616418787
Plan sponsor’s address 5305 GREENWOOD AVENUE, SUITE 203, WEST PALM BEACH, FL, 334072449

Signature of
Role Plan administrator
Date 2020-04-15
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-15
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
MOHAN S. GULATI, M.D., P.A., 401(K) PROFIT SHARING PLAN 2018 020598214 2019-01-09 MOHAN S. GULATI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5616418787
Plan sponsor’s address 5305 GREENWOOD AVENUE, SUITE 203, WEST PALM BEACH, FL, 334072449

Signature of
Role Plan administrator
Date 2019-01-09
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-01-09
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
MOHAN S. GULATI, M.D., P.A., 401(K) PROFIT SHARING PLAN 2017 020598214 2018-01-31 MOHAN S. GULATI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5616418787
Plan sponsor’s address 5305 GREENWOOD AVENUE, SUITE 203, WEST PALM BEACH, FL, 334072449

Signature of
Role Plan administrator
Date 2018-01-31
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-31
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
MOHAN S. GULATI, M.D., P.A., DEFINED BENEFIT PENSION PLAN 2016 020598214 2017-05-26 MOHAN S. GULATI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5616418787
Plan sponsor’s address 5305 GREENWOOD AVENUE SUITE 203, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2017-05-26
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-26
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
MOHAN S. GULATI, M.D., P.A., 401(K) PROFIT SHARING PLAN 2016 020598214 2017-06-07 MOHAN S. GULATI, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 5616418787
Plan sponsor’s address 5305 GREENWOOD AVENUE, SUITE 203, WEST PALM BEACH, FL, 334072449

Signature of
Role Plan administrator
Date 2017-06-07
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-07
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
MOHAN S. GULATI, M.D., P.A., DEFINED BENEFIT PENSION PLAN 2015 020598214 2016-03-04 MOHAN S. GULATI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5616418787
Plan sponsor’s address 5305 GREENWOOD AVENUE, SUITE 203, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2016-03-04
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-04
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
MOHAN S. GULATI, M.D., P.A., DEFINED BENEFIT PENSION PLAN 2014 020598214 2015-04-02 MOHAN S. GULATI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5616418787
Plan sponsor’s address 5305 GREENWOOD AVENUE, SUITE 203, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2015-04-02
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-02
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
MOHAN S. GULATI, M.D., P.A., DEFINED BENEFIT PENSION PLAN 2013 020598214 2014-03-07 MOHAN S. GULATI, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 5616418787
Plan sponsor’s address 5305 GREENWOOD AVENUE, SUITE 203, WEST PALM BEACH, FL, 33407

Signature of
Role Plan administrator
Date 2014-03-07
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-07
Name of individual signing MOHAN GULATI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GULATI MOHAN Agent 5305 Greenwood Ave, WEST PALM BEACH, FL, 33407

President

Name Role Address
GULATI MOHAN President 5305 Greenwood Ave, WEST PALM BEACH, FL, 33407

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-02-11 GULATI, MOHAN No data
REGISTERED AGENT ADDRESS CHANGED 2014-01-24 5305 Greenwood Ave, Suite 203, WEST PALM BEACH, FL 33407 No data
CHANGE OF PRINCIPAL ADDRESS 2012-04-23 5305 GREENWOOD AVE, SUITE 203, WEST PALM BEACH, FL 33407 No data
CHANGE OF MAILING ADDRESS 2012-04-23 5305 GREENWOOD AVE, SUITE 203, WEST PALM BEACH, FL 33407 No data

Documents

Name Date
ANNUAL REPORT 2024-03-19
ANNUAL REPORT 2023-03-13
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-02-27
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-03-20
ANNUAL REPORT 2017-03-13
ANNUAL REPORT 2016-02-26
ANNUAL REPORT 2015-01-26

Related by officers

GULATI MOHAN

GS MEDICAL PROPERTY, LLC

Related by address

5305 GREENWOOD AVE, SUITE 203, WEST PALM BEACH, FL, 33407, US

GS MEDICAL PROPERTY, LLC

5305 GREENWOOD AVE, SUITE 203, WEST PALM BEACH, FL, 33407, US

GS MEDICAL PROPERTY, LLC

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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