| Entity Name: | ST. AUGUSTINE PRIMARY CARE, P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Feb 2008 (17 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 13 Oct 2009 (15 years ago) |
| Document Number: | L08000017014 |
| FEI/EIN Number | 262002157 |
| Address: | 811 SR 206 E, ST. AUGUSTINE, FL, 32086, US |
| Mail Address: | 811 SR 206 E, ST. AUGUSTINE, FL, 32086, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760654370 | 2008-03-24 | 2024-11-05 | PO BOX 3123, ST AUGUSTINE, FL, 320853123, US | 811 STATE ROAD 206 E STE 3, ST AUGUSTINE, FL, 320864869, US | |||||||||||||||||||||
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| Phone | +1 904-342-2989 |
| Fax | 9048266243 |
| Fax | 9048246243 |
Authorized person
| Name | BRIAN DAVID RAYMAKER |
| Role | OWNER |
| Phone | 9043422989 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 40261 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAYMAKER BRIAN | Agent | 811 SR 206 E, ST. AUGUSTINE, FL, 32086 |
| Name | Role | Address |
|---|---|---|
| RAYMAKER BRIAN D | President | 811 SR 206 E, ST. AUGUSTINE, FL, 32086 |
| Name | Role | Address |
|---|---|---|
| Raymaker Daniel | Vice President | 811 SR 206 E, ST. AUGUSTINE, FL, 32086 |
| Name | Role | Address |
|---|---|---|
| Lopez Jennifer L | Secretary | 811 SR 206 E, ST. AUGUSTINE, FL, 32086 |
| Name | Role | Address |
|---|---|---|
| Nichols Judith | Treasurer | 811 SR 206 E, ST. AUGUSTINE, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-22 | 811 SR 206 E, Suite 3, ST. AUGUSTINE, FL 32086 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-22 | 811 SR 206 E, Suite 3, ST. AUGUSTINE, FL 32086 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-22 | 811 SR 206 E, Suite 3, ST. AUGUSTINE, FL 32086 | No data |
| CANCEL ADM DISS/REV | 2009-10-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-08-26 | RAYMAKER, BRIAN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-05-02 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-03-14 |
| ANNUAL REPORT | 2019-01-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3991297407 | 2020-05-08 | 0491 | PPP | 105 MARINER HEALTH WAY STE 203, SAINT AUGUSTINE, FL, 32086-3251 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
