| Entity Name: | DAVID M. GUTSTEIN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DAVID M. GUTSTEIN, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 08 Dec 1995 (29 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | P95000093396 |
| FEI/EIN Number |
650625135
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 13181 PONDEROSA WAY, FORT MYERS, FL, 33907 |
| Address: | 15621 NEW HAMPSHIRE CT, FT MYERS, FL, 33908 |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447373659 | 2007-04-10 | 2013-06-04 | 15621 NEW HAMPSHIRE CT, FORT MYERS, FL, 339084123, US | 15621 NEW HAMPSHIRE CT, FORT MYERS, FL, 339084123, US | |||||||||||||||||||||||||
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| Phone | +1 239-466-8838 |
| Fax | 2394667669 |
Authorized person
| Name | DAVID M GUTSTEIN |
| Role | PRESIDENT |
| Phone | 2394668838 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| License Number | ME65573 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 376267000 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID M. GUTSTEIN, M.D., P.A., PROFIT SHARING PLAN | 2010 | 650625135 | 2011-08-30 | DAVID M. GUTSTEIN, M.D., P.A. | 4 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 650625135 |
| Plan administrator’s name | DAVID M. GUTSTEIN, M.D., P.A. |
| Plan administrator’s address | 15621 NEW HAMPSHIRE COURT, FORT MYERS, FL, 33908 |
| Administrator’s telephone number | 2394668838 |
Signature of
| Role | Plan administrator |
| Date | 2011-08-30 |
| Name of individual signing | DAVID GUTSTEIN M D |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1996-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2394668838 |
| Plan sponsor’s address | 15621 NEW HAMPSHIRE COURT, FORT MYERS, FL, 33908 |
Plan administrator’s name and address
| Administrator’s EIN | 650625135 |
| Plan administrator’s name | DAVID M. GUTSTEIN, M.D., P.A. |
| Plan administrator’s address | 15621 NEW HAMPSHIRE COURT, FORT MYERS, FL, 33908 |
| Administrator’s telephone number | 2394668838 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-06 |
| Name of individual signing | DAVID GUTSTEIN M D |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GUTSTEIN DAVID M | Director | 13181 PONDEROSA WAY, FT MYERS, FL, 339077821 |
| GUTSTEIN DAVID M | President | 13181 PONDEROSA WAY, FT MYERS, FL, 339077821 |
| GUTSTEIN DAVID M | Agent | 13181 PONDEROSA WAY, FT. MYERS, FL, 339077821 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-01 | 15621 NEW HAMPSHIRE CT, FT MYERS, FL 33908 | - |
| CHANGE OF MAILING ADDRESS | 2006-04-02 | 15621 NEW HAMPSHIRE CT, FT MYERS, FL 33908 | - |
| REINSTATEMENT | 2001-07-02 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 1996-07-23 | GUTSTEIN, DAVID MM.D. | - |
| REGISTERED AGENT ADDRESS CHANGED | 1996-07-23 | 13181 PONDEROSA WAY, FT. MYERS, FL 33907-7821 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-01 |
| ANNUAL REPORT | 2017-04-09 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-03-18 |
| ANNUAL REPORT | 2014-04-12 |
| ANNUAL REPORT | 2013-04-11 |
| ANNUAL REPORT | 2012-04-08 |
| ANNUAL REPORT | 2011-03-31 |
| ANNUAL REPORT | 2010-04-07 |
| ANNUAL REPORT | 2009-03-31 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
