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GULF COAST CARDIOTHORACIC SURGERY INSTITUTE, INC

Company Details

Entity Name: GULF COAST CARDIOTHORACIC SURGERY INSTITUTE, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Sep 2015 (9 years ago)
Date of dissolution: 25 Mar 2021 (4 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 25 Mar 2021 (4 years ago)
Document Number: P15000079117
FEI/EIN Number 47-5051063
Address: 4903 W Bay Way Drive, C/O HARTMUTH BITTNER, MD,, Tampa, FL, 33629, US
Mail Address: 4903 W Bay Way Drive, C/O HARTMUTH BITTNER, MD, Tampa, FL, 33629, US
ZIP code: 33629
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578933115 2015-09-25 2017-03-02 17 DAVIS BLVD, 313, TAMPA, FL, 336063475, US 101 W BEACH PL, 1800, TAMPA, FL, 336062334, US

Contacts

Phone +1 813-906-1400
Fax 8133542321

Authorized person

Name MICHAEL E ERHARD
Role EXECUTIVE DIRECTOR
Phone 7073637627

Taxonomy

Taxonomy Code 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GULF COAST CARDIOTHORACIC SURGERY INSTITUTE PROFIT SHARING 401(K) PLAN 2019 475051063 2020-07-28 GULF COAST CARDIOTHORACIC SURGERY INSTITUTE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621111
Sponsor’s telephone number 8139061400
Plan sponsor’s address 4903 W. BAY WAY DRIVE, TAMPA, FL, 33629

Signature of

Role Plan administrator
Date 2020-07-28
Name of individual signing HARTMUTH B. BITTNER, M.D., PH.D.
Valid signature Filed with authorized/valid electronic signature
GULF COAST CARDIOTHORACIC SURGERY INSTITUTE PROFIT SHARING 401(K) PLAN 2018 475051063 2019-05-14 GULF COAST CARDIOTHORACIC SURGERY INSTITUTE, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621111
Sponsor’s telephone number 8139061400
Plan sponsor’s address 4903 W. BAY WAY DRIVE, TAMPA, FL, 33629

Signature of

Role Plan administrator
Date 2019-05-14
Name of individual signing HARTMUTH B. BITTNER, M.D., PH.D.
Valid signature Filed with authorized/valid electronic signature
GULF COAST CARDIOTHORACIC SURGERY INSTITUTE PROFIT SHARING 401(K) PLAN 2017 475051063 2018-10-15 GULF COAST CARDIOTHORACIC SURGERY INSTITUTE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621111
Sponsor’s telephone number 8139061400
Plan sponsor’s address 4903 W. BAY WAY DRIVE, TAMPA, FL, 33629

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing HARTMUTH B. BITTNER, M.D., PH.D.
Valid signature Filed with authorized/valid electronic signature
GULF COAST CARDIOTHORACIC SURGERY INSTITUTE PROFIT SHARING 401(K) PLAN 2016 475051063 2017-10-16 GULF COAST CARDIOTHORACIC SURGERY INSTITUTE, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621111
Sponsor’s telephone number 8139061400
Plan sponsor’s address 101 WEST BEACH PLACE, SUITE 1808, TAMPA, FL, 33606

Signature of

Role Plan administrator
Date 2017-10-16
Name of individual signing HARTMUTH B. BITTNER, M.D., PH.D.
Valid signature Filed with authorized/valid electronic signature
GULF COAST CARDIOTHORACIC SURGERY INSTITUTE PROFIT SHARING 401(K) PLAN 2015 475051063 2016-10-10 GULF COAST CARDIOTHORACIC SURGERY INSTITUTE, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621111
Sponsor’s telephone number 8139061400
Plan sponsor’s address 101 WEST BEACH PLACE, SUITE 1808, TAMPA, FL, 33606

Signature of

Role Plan administrator
Date 2016-10-10
Name of individual signing HARTMUTH B. BITTNER, M.D., PH.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Bittner Hartmuth B Agent 4903 W Bay Way Drive, Tampa, FL, 33629

President

Name Role Address
Bittner Hartmuth BMD, PhD President 4903 W Bay Way Drive, Tampa, FL, 33629

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2021-03-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-04-25 4903 W Bay Way Drive, C/O HARTMUTH BITTNER, MD,, Tampa, FL 33629 No data
CHANGE OF MAILING ADDRESS 2019-04-25 4903 W Bay Way Drive, C/O HARTMUTH BITTNER, MD,, Tampa, FL 33629 No data
REGISTERED AGENT NAME CHANGED 2019-04-25 Bittner, Hartmuth B No data
REGISTERED AGENT ADDRESS CHANGED 2019-04-25 4903 W Bay Way Drive, Tampa, FL 33629 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2021-03-25
ANNUAL REPORT 2020-06-18
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-02-26
ANNUAL REPORT 2017-03-03
ANNUAL REPORT 2016-04-22
Domestic Profit 2015-09-24

Date of last update: 02 Feb 2025

Sources: Florida Department of State