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  5. AMITABH GUPTA M.D., P.A.

AMITABH GUPTA M.D., P.A.

Company Details

Entity Name: AMITABH GUPTA M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Jun 2005 (20 years ago)
Document Number: P05000089039
FEI/EIN Number 593809254
Mail Address: 7603 LEATHER FERN CT., PINELLAS PARK, FL, 33782, US
Address: 7895 Seminole Blvd, Seminole, FL, 33772, US
ZIP code: 33772
County: Pinellas
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMITABH GUPTA M.D. P.A. 401K PSP 2023 593809254 2024-07-11 AMITABH GUPTA M.D. P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 7275268000
Plan sponsor’s address 7603 LEATHER FERN CT N, PINELLAS PARK, FL, 337824318

Signature of
Role Plan administrator
Date 2024-07-11
Name of individual signing GITA GUPTA
Valid signature Filed with authorized/valid electronic signature
AMITABH GUPTA M.D. P.A. 401K PSP 2022 593809254 2023-06-29 AMITABH GUPTA M.D. P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7275268000
Plan sponsor’s address 7603 LEATHER FERN CT N, PINELLAS PARK, FL, 337824318

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing GITA GUPTA
Valid signature Filed with authorized/valid electronic signature
AMITABH GUPTA M.D. P.A. 401K PSP 2021 593809254 2022-07-07 AMITABH GUPTA M.D. P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7275268000
Plan sponsor’s address 7603 LEATHER FERN CT N, PINELLAS PARK, FL, 337824318

Signature of
Role Plan administrator
Date 2022-07-07
Name of individual signing GITA GUPTA
Valid signature Filed with authorized/valid electronic signature
AMITABH GUPTA M.D. P.A. 2020 593809254 2021-07-07 AMITABH GUPTA M.D. P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7275268000
Plan sponsor’s address 7603 LEATHER FERN CT N, PINELLAS PARK, FL, 337824318

Signature of
Role Plan administrator
Date 2021-07-07
Name of individual signing GITA GUPTA
Valid signature Filed with authorized/valid electronic signature
AMITABH GUPTA M.D. P.A. 401K PSP 2019 593809254 2020-07-28 AMITABH GUPTA M.D. P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7275268000
Plan sponsor’s address 7603 LEATHER FERN CT N, PINELLAS PARK, FL, 337824318

Signature of
Role Plan administrator
Date 2020-07-28
Name of individual signing GITA GUPTA
Valid signature Filed with authorized/valid electronic signature
AMITABH GUPTA M.D. P.A. 401K PSP 2018 593809254 2019-07-23 AMITABH GUPTA M.D. P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7275268000
Plan sponsor’s address 7603 LEATHER FERN CT N, PINELLAS PARK, FL, 337824318

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing GITA GUPTA
Valid signature Filed with authorized/valid electronic signature
AMITABH GUPTA M.D. P.A. 401K PSP 2017 593809254 2018-06-28 AMITABH GUPTA M.D. P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7275268000
Plan sponsor’s address 7603 LEATHER FERN CT N, PINELLAS PARK, FL, 337824318

Signature of
Role Plan administrator
Date 2018-06-28
Name of individual signing GITA GUPTA
Valid signature Filed with authorized/valid electronic signature
AMITABH GUPTA M.D. P.A. 401K PSP 2016 593809254 2017-07-07 AMITABH GUPTA M.D. P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7275268000
Plan sponsor’s address 7603 LEATHER FERN CT N, PINELLAS PARK, FL, 337824318

Signature of
Role Plan administrator
Date 2017-07-07
Name of individual signing GITA GUPTA
Valid signature Filed with authorized/valid electronic signature
AMITABH GUPTA M.D. P.A. 401K PSP 2015 593809254 2016-09-13 AMITABH GUPTA M.D. P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7275268000
Plan sponsor’s address 7603 LEATHER FERN CT N, PINELLAS PARK, FL, 337824318

Signature of
Role Plan administrator
Date 2016-09-13
Name of individual signing GITA GUPTA
Valid signature Filed with authorized/valid electronic signature
AMITABH GUPTA M.D. P.A. 401K PSP 2014 593809254 2015-10-07 AMITABH GUPTA M.D. P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 7275268000
Plan sponsor’s address 7603 LEATHER FERN CT N, PINELLAS PARK, FL, 337824318

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing GITA GUPTA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GUPTA AMITABH M Agent 7603 LEATHER FERN COURT, PINELLAS PARK, FL, 33782

President

Name Role Address
GUPTA AMITABH President 7603 LEATHER FERN COURT, PINELLAS PARK, FL, 33782

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000134448 COASTAL ORTHOPEDIC PAIN & SPINE CENTER ACTIVE 2024-11-02 2029-12-31 No data 7603 LEATHER FERN COURT, PINELLAS PARK, FL, 33782
G22000132368 COASTAL INTERVENTIONAL PAIN & SPINE CENTER ACTIVE 2022-10-23 2027-12-31 No data 7603 LEATHER FERN COURT, PINELLAS PARK, FL, 33782
G16000036319 COASTAL ORTHOPEDIC AND REGENERATIVE MEDICINE ACTIVE 2016-04-10 2026-12-31 No data 7895 SEMINOLE BLVD, STE 101, SEMINOLE, FL, 33772
G16000017669 COASTAL REGENERATIVE MEDICINE ACTIVE 2016-02-17 2026-12-31 No data 7895 SEMINOLE BOULEVARD, STE 101, SEMINOLE, FL, 33772
G11000034156 COASTAL ORTHOPEDIC MEDICINE ACTIVE 2011-04-06 2026-12-31 No data 7603 LEATHER FERN COURT, PINELLAS PARK, FL, 33782
G09026900465 COASTAL ORTHOPEDIC & SPORTS MEDICINE ACTIVE 2009-01-26 2029-12-31 No data 7603 LEATHER FERN COURT, PINELLAS PARK, FL, 33782

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-04-10 7895 Seminole Blvd, Suite 101, Seminole, FL 33772 No data
REGISTERED AGENT ADDRESS CHANGED 2010-01-13 7603 LEATHER FERN COURT, PINELLAS PARK, FL 33782 No data
CHANGE OF MAILING ADDRESS 2009-10-19 7895 Seminole Blvd, Suite 101, Seminole, FL 33772 No data

Documents

Name Date
ANNUAL REPORT 2024-03-03
ANNUAL REPORT 2023-03-04
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-02-28
ANNUAL REPORT 2019-01-03
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-03-12
ANNUAL REPORT 2016-04-10
ANNUAL REPORT 2015-02-15

Related by officers

GUPTA AMITABH

GUPTA CONSULTING PLLC GUPTA INVESTMENTS LLC

GUPTA AMITABH M

GUPTA MEDICAL CENTER CONDOMINIUM ASSOCIATION, INC.

Related by address

7603 LEATHER FERN CT., PINELLAS PARK, FL, 33782, US

GUPTA INVESTMENTS LLC

Date of last update: 03 Feb 2025

Sources: Florida Department of State

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