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  5. FAMILY PRACTICE CENTER OF PLANT CITY, P.A.

FAMILY PRACTICE CENTER OF PLANT CITY, P.A.

Company Details

Entity Name: FAMILY PRACTICE CENTER OF PLANT CITY, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 Feb 1998 (27 years ago)
Document Number: P98000010080
FEI/EIN Number 593491418
Address: 507 W ALEXANDER ST, PLANT CITY, FL, 33563
Mail Address: 507 W ALEXANDER ST, PLANT CITY, FL, 33563
ZIP code: 33563
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548208465 2006-06-03 2010-03-11 507 W ALEXANDER ST, PLANT CITY, FL, 335637136, US 507 W ALEXANDER ST, PLANT CITY, FL, 335637136, US

Contacts
Phone +1 813-754-3504
Fax 8137526863

Authorized person
Name GREGG W. GUTOWSKI
Role MANAGING PARTNER
Phone 8137543504

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY PRACTICE CENTER OF PLANT CITY, P.A. 401(K) PLAN 2015 593491418 2016-10-07 FAMILY PRACTICE CENTER OF PLANT CITY, P.A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8137543504
Plan sponsor’s address 507 W. ALEXANDER STREET, PLANT CITY, FL, 33563

Signature of
Role Plan administrator
Date 2016-10-07
Name of individual signing REBA CARDILLO
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE CENTER OF PLANT CITY, P.A. 401(K) PLAN 2014 593491418 2015-09-23 FAMILY PRACTICE CENTER OF PLANT CITY, P.A. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8137543504
Plan sponsor’s address 507 W. ALEXANDER STREET, PLANT CITY, FL, 33563

Signature of
Role Plan administrator
Date 2015-09-23
Name of individual signing GREGG GUTOWSKI, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-09-23
Name of individual signing GREGG GUTOWSKI, MD
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE CENTER OF PLANT CITY, P.A. 401(K) PLAN 2013 593491418 2014-09-25 FAMILY PRACTICE CENTER OF PLANT CITY, P.A. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8137543504
Plan sponsor’s address 507 W. ALEXANDER STREET, PLANT CITY, FL, 33563

Signature of
Role Plan administrator
Date 2014-09-25
Name of individual signing GREGG GUTOWSKI, MD
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE CENTER OF PLANT CITY, P.A. 401(K) PLAN 2012 593491418 2013-10-02 FAMILY PRACTICE CENTER OF PLANT CITY, P.A. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8137543504
Plan sponsor’s address 507 W. ALEXANDER STREET, PLANT CITY, FL, 33563

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing GREGG GUTOWSKI, MD
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE CENTER OF PLANT CITY, P.A. 401(K) PLAN 2011 593491418 2012-10-03 FAMILY PRACTICE CENTER OF PLANT CITY, P.A. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8137543504
Plan sponsor’s address 507 W. ALEXANDER STREET, PLANT CITY, FL, 33563

Plan administrator’s name and address
Administrator’s EIN 593491418
Plan administrator’s name FAMILY PRACTICE CENTER OF PLANT CITY, P.A.
Plan administrator’s address 507 W. ALEXANDER STREET, PLANT CITY, FL, 33563
Administrator’s telephone number 8137543504

Signature of
Role Plan administrator
Date 2012-10-03
Name of individual signing GREGG GUTOWSKI, M.D.
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE CENTER OF PLANT CITY, P.A. 401(K) PLAN 2010 593491418 2011-10-04 FAMILY PRACTICE CENTER OF PLANT CITY, P.A. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8137543504
Plan sponsor’s address 507 W. ALEXANDER STREET, PLANT CITY, FL, 33563

Plan administrator’s name and address
Administrator’s EIN 593491418
Plan administrator’s name FAMILY PRACTICE CENTER OF PLANT CITY, P.A.
Plan administrator’s address 507 W. ALEXANDER STREET, PLANT CITY, FL, 33563
Administrator’s telephone number 8137543504

Signature of
Role Plan administrator
Date 2011-10-04
Name of individual signing GREGG GUTOWSKI, M.D.
Valid signature Filed with authorized/valid electronic signature
FAMILY PRACTICE CENTER OF PLANT CITY, P.A. 401(K) PLAN 2009 593491418 2010-09-27 FAMILY PRACTICE CENTER OF PLANT CITY, P.A. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 8137543504
Plan sponsor’s address 507 W. ALEXANDER STREET, PLANT CITY, FL, 33563

Plan administrator’s name and address
Administrator’s EIN 593491418
Plan administrator’s name FAMILY PRACTICE CENTER OF PLANT CITY, P.A.
Plan administrator’s address 507 W. ALEXANDER STREET, PLANT CITY, FL, 33563
Administrator’s telephone number 8137543504

Signature of
Role Plan administrator
Date 2010-09-27
Name of individual signing GREGG GUTOWSKI, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GUTOWSKI GREGG W Agent 507 W. ALEXANDER ST., PLANT CITY, FL, 33566

Director

Name Role Address
GUTOWSKI GREGG W Director 507 W ALEXANDER ST, PLANT CITY, FL, 33563
SARANKO A J Director 507 W ALEXANDER ST, PLANT CITY, FL, 33563
KORTE BRIAN J Director 507 W ALEXANDER ST, PLANT CITY, FL, 33563

Officer

Name Role Address
BASKIN ROBERT N Officer 507 W. ALEXANDER ST., PLANT CITY, FL, 33563
FORD MARK M Officer 507 W. ALEXANDER ST., PLANT CITY, FL, 33563

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

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KORTE BRIAN J

GUTOWSKI AND SARANKO, INC.

Related by address

507 W ALEXANDER ST, PLANT CITY, FL, 33563

GUTOWSKI AND SARANKO, INC.

507 W ALEXANDER ST, PLANT CITY, FL, 33563

GUTOWSKI AND SARANKO, INC.

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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