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Peter Zloty, P.C.

Details

Name: Peter Zloty, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 10 Mar 2006 (19 years ago) (Companies founded in March 2006)
Entity Number: 000-246-138
Register Number: 000246138
ZIP code: 36301 (Companies in Houston, 36301)
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 103 CREEKRIDGEDOTHAN, AL 36301
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275850885 2010-04-23 2010-04-23 250 STATE FARM PKWY, BIRMINGHAM, AL, 352097181, US 3290 DAUPHIN ST, SUITE 401, MOBILE, AL, 366064053, US

Contacts
Phone +1 205-943-4650
Fax 2059434688
Phone +1 251-471-3309
Fax 2514715046

Authorized person
Name DR. PETER ZLOTY
Role OWNER/PRESIDENT
Phone 2514713309

Taxonomy
Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PETER ZLOTY, P.C. PROFIT SHARING PLAN 2018 204459843 2019-10-15 PETER ZLOTY, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3347941968
Plan sponsor’s address 3290 DAUPHIN STREET, SUITE 401, MOBILE, AL, 36606

Plan administrator’s name and address
Administrator’s EIN 204459843
Plan administrator’s name PETER ZLOTY, P.C.
Plan administrator’s address 3290 DAUPHIN STREET, SUITE 401, MOBILE, AL, 36606
Administrator’s telephone number 3347941968
PETER ZLOTY, P.C. PROFIT SHARING PLAN 2016 204459843 2017-10-17 PETER ZLOTY, P.C. 1
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3347941968
Plan sponsor’s address 3290 DAUPHIN STREET, SUITE 401, MOBILE, AL, 36606

Plan administrator’s name and address
Administrator’s EIN 204459843
Plan administrator’s name PETER ZLOTY, P.C.
Plan administrator’s address 3290 DAUPHIN STREET, SUITE 401, MOBILE, AL, 36606
Administrator’s telephone number 3347941968
PETER ZLOTY, P.C. PROFIT SHARING PLAN 2015 204459843 2016-10-15 PETER ZLOTY, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3347941968
Plan sponsor’s address 3290 DAUPHIN STREET, SUITE 401, MOBILE, AL, 36606

Plan administrator’s name and address
Administrator’s EIN 204459843
Plan administrator’s name PETER ZLOTY, P.C.
Plan administrator’s address 3290 DAUPHIN STREET, SUITE 401, MOBILE, AL, 36606
Administrator’s telephone number 3347941968
PETER ZLOTY, P.C. PROFIT SHARING PLAN 2014 204459843 2015-10-15 PETER ZLOTY, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3347941968
Plan sponsor’s address 3290 DAUPHIN STREET, SUITE 401, MOBILE, AL, 36606

Plan administrator’s name and address
Administrator’s EIN 204459843
Plan administrator’s name PETER ZLOTY, P.C.
Plan administrator’s address 3290 DAUPHIN STREET, SUITE 401, MOBILE, AL, 36606
Administrator’s telephone number 3347941968

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing PAULA L. SHELLEY
PETER ZLOTY, P.C. PROFIT SHARING PLAN 2013 204459843 2014-10-15 PETER ZLOTY, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3347941968
Plan sponsor’s address 3290 DAUPHIN STREET, SUITE 401, MOBILE, AL, 36606

Plan administrator’s name and address
Administrator’s EIN 204459843
Plan administrator’s name PETER ZLOTY, P.C.
Plan administrator’s address 3290 DAUPHIN STREET, SUITE 401, MOBILE, AL, 36606
Administrator’s telephone number 3347941968

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing PETER ZLOTY, MD
PETER ZLOTY, P.C. PROFIT SHARING PLAN 2012 204459843 2013-10-15 PETER ZLOTY, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3347941968
Plan sponsor’s address 3290 DAUPHIN STREET, SUITE 401, MOBILE, AL, 36606

Plan administrator’s name and address
Administrator’s EIN 204459843
Plan administrator’s name PETER ZLOTY, P.C.
Plan administrator’s address 3290 DAUPHIN STREET, SUITE 401, MOBILE, AL, 36606
Administrator’s telephone number 3347941968

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing PETER ZLOTY, MD
PETER ZLOTY, P.C. PROFIT SHARING PLAN 2011 204459843 2012-10-15 PETER ZLOTY, P.C. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 3347941968
Plan sponsor’s address 3290 DAUPHIN STREET, SUITE 401, MOBILE, AL, 36606

Plan administrator’s name and address
Administrator’s EIN 204459843
Plan administrator’s name PETER ZLOTY, P.C.
Plan administrator’s address 3290 DAUPHIN STREET, SUITE 401, MOBILE, AL, 36606
Administrator’s telephone number 3347941968

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing PETER ZLOTY, MD

Agent

Name Role
ZLOTY, PETE Agent

Incorporator

Name Role
ZLOTY, PETER Incorporator

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Related by address

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Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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