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GARY J. GUZZARDO, M.D., P.A.

Company Details

Entity Name: GARY J. GUZZARDO, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 12 Jan 1994 (31 years ago)
Document Number: P94000002945
FEI/EIN Number 65-0458293
Address: 3193 SE DIXIE HWY, STUART, FL 34997
Mail Address: 3193 SE DIXIE HWY, STUART, FL 34997
ZIP code: 34997
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639337140 2008-05-30 2008-05-30 2150 SE SALERNO RD, SUITE 200, STUART, FL, 349976572, US 2150 SE SALERNO RD, SUITE 200, STUART, FL, 349976572, US

Contacts

Phone +1 772-223-5775

Authorized person

Name DR. GARY J GUZZARDO
Role PHYSICIAN
Phone 7722235775

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME54901
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GARY J. GUZZARDO, M.D., P.A., 401(K) PROFIT SHARING PLAN 2020 650458293 2021-02-26 GARY J. GUZZARDO, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7722477856
Plan sponsor’s address 3193 SE DIXIE HIGHWAY, STUART, FL, 34997

Signature of

Role Plan administrator
Date 2021-02-26
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-26
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
GARY J. GUZZARDO, M.D., P.A., 401(K) PROFIT SHARING PLAN 2019 650458293 2020-02-19 GARY J. GUZZARDO, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7722477856
Plan sponsor’s address 3193 SE DIXIE HIGHWAY, STUART, FL, 34997

Signature of

Role Plan administrator
Date 2020-02-19
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-02-19
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
GARY J. GUZZARDO, M.D., P.A., 401(K) PROFIT SHARING PLAN 2018 650458293 2019-03-05 GARY J. GUZZARDO, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7722477856
Plan sponsor’s address 3193 SE DIXIE HIGHWAY, STUART, FL, 34997

Signature of

Role Plan administrator
Date 2019-03-05
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-05
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
GARY J. GUZZARDO, M.D., P.A., 401(K) PROFIT SHARING PLAN 2017 650458293 2018-02-25 GARY J. GUZZARDO, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7722235775
Plan sponsor’s address 2150 S.E. SALERNO ROAD SUITE 202, STUART, FL, 349976572

Signature of

Role Plan administrator
Date 2018-02-25
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-25
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
GARY J. GUZZARDO, M.D., P.A., 401(K) PROFIT SHARING PLAN 2016 650458293 2017-06-16 GARY J. GUZZARDO, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7722235775
Plan sponsor’s address 2150 S.E. SALERNO ROAD SUITE 202, STUART, FL, 349976572

Signature of

Role Plan administrator
Date 2017-06-16
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-16
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
GARY J. GUZZARDO, M.D., P.A., 401(K) PROFIT SHARING PLAN 2015 650458293 2016-02-05 GARY J. GUZZARDO, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7722235775
Plan sponsor’s address 2150 S.E. SALERNO ROAD SUITE 202, STUART, FL, 349976572

Signature of

Role Plan administrator
Date 2016-02-05
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-02-05
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
GARY J. GUZZARDO, M.D., P.A., 401(K) PROFIT SHARING PLAN 2014 650458293 2015-03-13 GARY J. GUZZARDO, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7722235775
Plan sponsor’s address 2150 S.E. SALERNO ROAD SUITE 202, STUART, FL, 349976572

Signature of

Role Plan administrator
Date 2015-03-13
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-03-13
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
GARY J. GUZZARDO, M.D., P.A., 401(K) PROFIT SHARING PLAN 2013 650458293 2014-02-21 GARY J. GUZZARDO, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7722235775
Plan sponsor’s address 2150 S.E. SALERNO ROAD SUITE 202, STUART, FL, 349976572

Signature of

Role Plan administrator
Date 2014-02-21
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-02-21
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
GARY J. GUZZARDO, M.D., P.A., 401(K) PROFIT SHARING PLAN 2012 650458293 2013-06-06 GARY J. GUZZARDO, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7722235775
Plan sponsor’s address 2150 S.E. SALERNO ROAD SUITE 202, STUART, FL, 349976572

Signature of

Role Plan administrator
Date 2013-06-06
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-06
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
GARY J. GUZZARDO, M.D., P.A., 401(K) PROFIT SHARING PLAN 2011 650458293 2012-07-13 GARY J. GUZZARDO, M.D., P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 7722235775
Plan sponsor’s address 2150 S.E. SALERNO ROAD SUITE 202, STUART, FL, 349976572

Plan administrator’s name and address

Administrator’s EIN 650458293
Plan administrator’s name GARY J. GUZZARDO, M.D., P.A.
Plan administrator’s address 2150 S.E. SALERNO ROAD SUITE 202, STUART, FL, 349976572
Administrator’s telephone number 7722235775

Signature of

Role Plan administrator
Date 2012-07-13
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-13
Name of individual signing GARY GUZZARDO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GUZZARDO, GARY J, Dr. Agent 3193 DIXIE HWY, STUART, FL 34997

Manager

Name Role Address
GUZZARDO, GARY J, Dr. Manager 3193 SE DIXIE HWY, STUART, FL 34997

Director

Name Role Address
GUZZARDO, GARY J, Dr. Director 3193 SE DIXIE HWY, STUART, FL 34997

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-01-16 3193 SE DIXIE HWY, STUART, FL 34997 No data
CHANGE OF MAILING ADDRESS 2019-01-16 3193 SE DIXIE HWY, STUART, FL 34997 No data
REGISTERED AGENT ADDRESS CHANGED 2019-01-16 3193 DIXIE HWY, STUART, FL 34997 No data
REGISTERED AGENT NAME CHANGED 2013-01-28 GUZZARDO, GARY J, Dr. No data

Documents

Name Date
ANNUAL REPORT 2024-03-08
ANNUAL REPORT 2023-02-16
ANNUAL REPORT 2022-01-23
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-01-16
ANNUAL REPORT 2018-01-11
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-27
ANNUAL REPORT 2015-01-29

Date of last update: 02 Feb 2025

Sources: Florida Department of State