Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Leon
    4. ›
  4. 32308
    5. ›
  5. VASCULAR SURGERY ASSOCIATES, P.A.

VASCULAR SURGERY ASSOCIATES, P.A. - Florida Company Profile

Company Details

Entity Name: VASCULAR SURGERY ASSOCIATES, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation

VASCULAR SURGERY ASSOCIATES, P.A. is structured as a Profit Corporation, also known as a C-Corporation, a business structure recognized as a separate legal entity from its owners. This structure offers the benefit of potential tax advantages and ease of raising capital through the issuance of stock.
In Florida, Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 Oct 1983 (41 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 11 Nov 2024 (4 months ago)
Document Number: G66260
FEI/EIN Number 59-2332559

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2631 CENTENNIAL BLVD, TALLAHASEE, FL 32308
Mail Address: 2631 CENTENNIAL BLVD, TALLAHASEE, FL 32308
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407953771 2006-09-20 2017-03-30 2631 CENTENNIAL BLVD, STE 100, TALLAHASSEE, FL, 323080588, US 2631 CENTENNIAL BLVD, STE 100, TALLAHASSEE, FL, 323080588, US

Contacts
Phone +1 850-877-8539
Fax 8508776674

Authorized person
Name MR. JUAN FUENTES
Role PRACTICE ADMINISTRATOR
Phone 8508778539

Taxonomy
Taxonomy Code 2086S0129X - Vascular Surgery Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 255471200
State FL
Issuer MEDICAID
Number 300038191A
State GA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VASCULAR SURGERY ASSOCIATES, P.A. 401(K) PLAN 2020 592332559 2021-04-07 VASCULAR SURGERY ASSOCIATES, P.A. 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8508778539
Plan sponsor’s address 2631 CENTENNIAL BLVD, TALLAHASSEE, FL, 323080588
VASCULAR SURGERY ASSOCIATES, P.A. 401(K) PLAN 2020 592332559 2021-07-08 VASCULAR SURGERY ASSOCIATES, P.A. 56
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8508778539
Plan sponsor’s address 2631 CENTENNIAL BLVD, TALLAHASSEE, FL, 323080588
VASCULAR SURGERY ASSOCIATES, P.A. 401(K) PLAN 2019 592332559 2020-05-14 VASCULAR SURGERY ASSOCIATES, P.A. 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8508778539
Plan sponsor’s address 2631 CENTENNIAL BLVD, TALLAHASSEE, FL, 323080588
VASCULAR SURGERY ASSOCIATES, P.A. 401(K) PLAN 2018 592332559 2019-06-24 VASCULAR SURGERY ASSOCIATES, P.A. 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8508778539
Plan sponsor’s address 2631 CENTENNIAL BLVD., STE 100, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2019-06-24
Name of individual signing CANITA GUNTER PETERSON
Valid signature Filed with authorized/valid electronic signature
VASCULAR SURGERY ASSOCIATES, P.A. 401(K) PLAN 2017 592332559 2018-10-05 VASCULAR SURGERY ASSOCIATES, P.A. 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8508778539
Plan sponsor’s address 2631 CENTENNIAL BLVD., STE 100, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing CANITA GUNTER PETERSON
Valid signature Filed with authorized/valid electronic signature
VASCULAR SURGERY ASSOCIATES, P.A. 401(K) PLAN 2017 592332559 2018-04-09 VASCULAR SURGERY ASSOCIATES, P.A. 44
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8508778539
Plan sponsor’s address 2631 CENTENNIAL BLVD., STE 100, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2018-04-09
Name of individual signing CANITA GUNTER PETERSON
Valid signature Filed with authorized/valid electronic signature
VASCULAR SURGERY ASSOCIATES, P.A. 401(K) PLAN 2016 592332559 2017-04-11 VASCULAR SURGERY ASSOCIATES, P.A. 42
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8508778539
Plan sponsor’s address 2631 CENTENNIAL BLVD., STE 100, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2017-04-11
Name of individual signing CANITA GUNTER PETERSON
Valid signature Filed with authorized/valid electronic signature
VASCULAR SURGERY ASSOCIATES, P.A. 401(K) PLAN 2015 592332559 2016-06-13 VASCULAR SURGERY ASSOCIATES, P.A. 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8508778539
Plan sponsor’s address 2631 CENTENNIAL BLVD., STE 100, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2016-06-13
Name of individual signing CANITA GUNTER PETERSON
Valid signature Filed with authorized/valid electronic signature
VASCULAR SURGERY ASSOCIATES, P.A. 401(K) PLAN 2014 592332559 2015-06-18 VASCULAR SURGERY ASSOCIATES, P.A. 40
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8508778539
Plan sponsor’s address 2631 CENTENNIAL BLVD., STE 100, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2015-06-18
Name of individual signing CANITA GUNTER PETERSON
Valid signature Filed with authorized/valid electronic signature
VASCULAR SURGERY ASSOCIATES, P.A. 401(K) PLAN 2014 592332559 2015-06-19 VASCULAR SURGERY ASSOCIATES, P.A. 40
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8508778539
Plan sponsor’s address 2631 CENTENNIAL BLVD., STE 100, TALLAHASSEE, FL, 32308

Signature of
Role Plan administrator
Date 2015-06-18
Name of individual signing CANITA GUNTER PETERSON
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ROLOSON, RONALD JOHN Agent 2631 CENTENNIAL BLVD, TALLAHASSEE, FL 32308
KAELIN, LAWRENCE D, Dr. President 2631 CENTENNIAL BLVD, TALLAHASEE, FL 32308
BRUMBERG, ROBERT S, Dr. Vice President 2631 CENTENNIAL BLVD, TALLAHASEE, FL 32308
BRUMBERG, ROBERT S, Dr. Treasurer 2631 CENTENNIAL BLVD, TALLAHASEE, FL 32308
BRUMBERG, ROBERT S, Dr. Secretary 2631 CENTENNIAL BLVD, TALLAHASEE, FL 32308

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000053049 THE VEIN INSTITUTE ACTIVE 2020-05-13 2025-12-31 - 2623 CENTENNIAL BLVD, SUITE 102, TALLAHASSEE, FL, 32308

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-11-11 ROLOSON, RONALD JOHN -
REINSTATEMENT 2024-11-11 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
REGISTERED AGENT ADDRESS CHANGED 2019-04-09 2631 CENTENNIAL BLVD, TALLAHASSEE, FL 32308 -
CHANGE OF PRINCIPAL ADDRESS 2019-04-09 2631 CENTENNIAL BLVD, TALLAHASEE, FL 32308 -
CHANGE OF MAILING ADDRESS 2019-04-09 2631 CENTENNIAL BLVD, TALLAHASEE, FL 32308 -
CANCEL ADM DISS/REV 2006-10-30 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 - -
NAME CHANGE AMENDMENT 1993-08-20 VASCULAR SURGERY ASSOCIATES, P.A. -

Documents

Name Date
REINSTATEMENT 2024-11-11
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-02-24
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-01-19
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-02-18

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6479407103 2020-04-14 0491 PPP 2631 CENTENNIAL BLVD Suite 100, TALLAHASSEE, FL, 32308-0588
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 673030.7
Loan Approval Amount (current) 673000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TALLAHASSEE, LEON, FL, 32308-0588
Project Congressional District FL-02
Number of Employees 38
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 676981.92
Forgiveness Paid Date 2020-11-20

Companies related by officers

No other companies in our directory share the same officers as VASCULAR SURGERY ASSOCIATES, P.A.

Companies related by address

No other companies in our directory share the same address as VASCULAR SURGERY ASSOCIATES, P.A.

Date of last update: 05 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated