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  5. SCOTT COMITER, M.D., P.A.

SCOTT COMITER, M.D., P.A.

Company Details

Entity Name: SCOTT COMITER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Jun 2003 (22 years ago)
Document Number: P03000062178
FEI/EIN Number 571172718
Address: 50 EAST SAMPLE ROAD, POMPANO BEACH, FL, 33064, US
Mail Address: 6479 Enclave Way, Boca Raton, FL, 33496, US
ZIP code: 33064
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578837522 2012-03-07 2012-03-07 50 E SAMPLE RD, SUITE 300, POMPANO BEACH, FL, 330643552, US 50 E SAMPLE RD, SUITE 300, POMPANO BEACH, FL, 330643552, US

Contacts
Phone +1 954-784-7204
Fax 9547847205

Authorized person
Name SCOTT LANCE COMITER
Role PRESIDENT
Phone 9547847204

Taxonomy
Taxonomy Code 208800000X - Urology Physician
License Number ME61855
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SCOTT COMITER M.D., P.A. PROFIT SHARING PLAN 2013 571172718 2014-09-03 SCOTT COMITER, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9547847204
Plan sponsor’s address 50 EAST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL, 33064
SCOTT COMITER M.D., P.A. PROFIT SHARING PLAN 2012 571172718 2013-10-09 SCOTT COMITER, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9547847204
Plan sponsor’s address 50 EAST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL, 33064

Signature of
Role Plan administrator
Date 2013-10-09
Name of individual signing SCOTT COMITER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-09
Name of individual signing SCOTT COMITER
Valid signature Filed with authorized/valid electronic signature
SCOTT COMITER M.D., P.A. PROFIT SHARING PLAN 2011 571172718 2012-09-21 SCOTT COMITER, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9547847204
Plan sponsor’s address 50 EAST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL, 33064

Plan administrator’s name and address
Administrator’s EIN 571172718
Plan administrator’s name SCOTT COMITER, M.D., P.A.
Plan administrator’s address 50 EAST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL, 33064
Administrator’s telephone number 9547847204

Signature of
Role Plan administrator
Date 2012-09-21
Name of individual signing SCOTT COMITER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-21
Name of individual signing SCOTT COMITER
Valid signature Filed with authorized/valid electronic signature
SCOTT COMITER M.D., P.A. PROFIT SHARING PLAN 2011 571172718 2012-09-20 SCOTT COMITER, M.D., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9547847204
Plan sponsor’s address 50 EAST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL, 33064

Plan administrator’s name and address
Administrator’s EIN 571172718
Plan administrator’s name SCOTT COMITER, M.D., P.A.
Plan administrator’s address 50 EAST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL, 33064
Administrator’s telephone number 9547847204

Signature of
Role Plan administrator
Date 2012-09-20
Name of individual signing SCOTT COMITER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-20
Name of individual signing SCOTT COMITER
Valid signature Filed with authorized/valid electronic signature
SCOTT COMITER M.D., P.A. PROFIT SHARING PLAN 2010 571172718 2011-10-03 SCOTT COMITER, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9547847204
Plan sponsor’s address 50 EAST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL, 33064

Plan administrator’s name and address
Administrator’s EIN 571172718
Plan administrator’s name SCOTT COMITER, M.D., P.A.
Plan administrator’s address 50 EAST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL, 33064
Administrator’s telephone number 9547847204

Signature of
Role Plan administrator
Date 2011-10-03
Name of individual signing SCOTT COMITER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-03
Name of individual signing SCOTT COMITER
Valid signature Filed with authorized/valid electronic signature
SCOTT COMITER M.D., P.A. PROFIT SHARING PLAN 2009 571172718 2010-09-14 SCOTT COMITER, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 9547847204
Plan sponsor’s address 50 EAST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL, 33064

Plan administrator’s name and address
Administrator’s EIN 571172718
Plan administrator’s name SCOTT COMITER, M.D., P.A.
Plan administrator’s address 50 EAST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL, 33064
Administrator’s telephone number 9547847204

Signature of
Role Plan administrator
Date 2010-09-14
Name of individual signing SCOTT COMITER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-14
Name of individual signing SCOTT COMITER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
COMITER SCOTT Agent 50 EAST SAMPLE ROAD, POMPANO BEACH, FL, 33064

Director

Name Role Address
COMITER SCOTT M Director 6479 ENCLAVE WAY, BOCA RATON, FL, 33496

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-02-08 50 EAST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL 33064 No data
CHANGE OF PRINCIPAL ADDRESS 2018-01-02 50 EAST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL 33064 No data
REGISTERED AGENT NAME CHANGED 2018-01-02 COMITER, SCOTT No data
REGISTERED AGENT ADDRESS CHANGED 2018-01-02 50 EAST SAMPLE ROAD, SUITE 300, POMPANO BEACH, FL 33064 No data

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-01-21
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-02-02
ANNUAL REPORT 2018-01-02
ANNUAL REPORT 2017-05-14
ANNUAL REPORT 2016-06-07
ANNUAL REPORT 2015-06-19

Related by officers

COMITER SCOTT

SCOTT COMITER FINANCIAL SERVICES, LLC

Related by address

50 EAST SAMPLE ROAD, POMPANO BEACH, FL, 33064, US

PERITONEAL DIALYSIS CENTER INC

Date of last update: 02 Feb 2025

Sources: Florida Department of State

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