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Family Physicians, P.C.

Details

Name: Family Physicians, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 19 Mar 1999 (26 years ago)
Entity Number: 000-201-647
Register Number: 000201647
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 6345-S AIRPORT BLVEMOBILE, AL 36608
Registered Office Street Address ZIP Code: 36608
Authorized Capital: $10,000

Activities RENDER PROFESSIONAL MEDICAL SERVICES/MEDICAL RESEARCH/EDUCATION

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295846582 2006-08-31 2007-07-16 PO BOX 850489, MOBILE, AL, 366850489, US 6345 AIRPORT BLVD STE S, MOBILE, AL, 366083127, US

Contacts
Phone +1 251-344-4141
Fax 2513441455

Authorized person
Name DR. ROBERT CARL BRUTKIEWICZ
Role MD/OWNER
Phone 2513444141

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 00015937
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICARE GROUP PROVIDER
Number K962

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY PHYSICIANS P.C. 401(K) PROFIT SHARING PLAN 2022 631221531 2023-05-31 FAMILY PHYSICIANS, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2512441515
Plan sponsor’s address 6345 S. AIRPORT BLVD, MOBILE, AL, 366083164
FAMILY PHYSICIANS P.C. 401(K) PROFIT SHARING PLAN 2021 631221531 2022-03-14 FAMILY PHYSICIANS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2512441515
Plan sponsor’s address 6345 S. AIRPORT BLVD, MOBILE, AL, 366083164
FAMILY PHYSICIANS P.C. 401(K) PROFIT SHARING PLAN 2020 631221531 2021-09-13 FAMILY PHYSICIANS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2512441515
Plan sponsor’s address 6345 S. AIRPORT BLVD, MOBILE, AL, 366083164
FAMILY PHYSICIANS P.C. 401(K) PROFIT SHARING PLAN 2019 631221531 2020-10-15 FAMILY PHYSICIANS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2512441515
Plan sponsor’s address 6345 S. AIRPORT BLVD, MOBILE, AL, 366083164
FAMILY PHYSICIANS P.C. 401(K) PROFIT SHARING PLAN 2018 631221531 2019-10-14 FAMILY PHYSICIANS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2512441515
Plan sponsor’s address 6345 S. AIRPORT BLVD, MOBILE, AL, 366083164
FAMILY PHYSICIANS P.C. 401(K) PROFIT SHARING PLAN 2017 631221531 2018-10-15 FAMILY PHYSICIANS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2512441515
Plan sponsor’s address 6345 S. AIRPORT BLVD, MOBILE, AL, 366083164
FAMILY PHYSICIANS P.C. 401(K) PROFIT SHARING PLAN 2016 631221531 2017-10-05 FAMILY PHYSICIANS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2512441515
Plan sponsor’s address 6345 S. AIRPORT BLVD, MOBILE, AL, 366083164
FAMILY PHYSICIANS P.C. 401(K) PROFIT SHARING PLAN 2015 631221531 2016-08-01 FAMILY PHYSICIANS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2512441515
Plan sponsor’s address 6345 S. AIRPORT BLVD, MOBILE, AL, 366083164
FAMILY PHYSICIANS P.C. 401(K) PROFIT SHARING PLAN 2014 631221531 2015-10-13 FAMILY PHYSICIANS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2512441515
Plan sponsor’s address 6345 S. AIRPORT BLVD, MOBILE, AL, 366083164

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing DR. ROBERT BRUTKIEWICZ
FAMILY PHYSICIANS P.C. 401(K) PROFIT SHARING PLAN 2013 631221531 2014-07-31 FAMILY PHYSICIANS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2512441515
Plan sponsor’s address 6345 S. AIRPORT BLVD, MOBILE, AL, 366083164

Signature of
Role Plan administrator
Date 2014-07-31
Name of individual signing DR. ROBERT BRUTKIEWICZ

Agent

Name Role
BRUTKIEWICZ, CARL Agent

Incorporator

Name Role
BRUTKIEWICZ, CARL Incorporator

Related by officers

No related officers

Related by address

MOBILE, AL

A-1 Fence-Craft of America, Inc. AAA Air & Hydraulics of Mobile, Inc. AAA Furniture Warehouse Co., Inc. Bradco, Inc. AAP Distributors, Inc. ABC Comfort, Inc. A B C Fence Industries, Inc. A-C Contracting Company, Inc. AEU Claims, Inc. A G R Co., Incorporated

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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