| Entity Name: | ST. AUGUSTINE PHYSICAL MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Apr 2010 (15 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | L10000040118 |
| Address: | 1100 S. PONCE DE LEON BLVD. STE 3A, ST. AUGUSTINE, FL, 32084 |
| Mail Address: | 1100 S. PONCE DE LEON BLVD. STE 3A, ST. AUGUSTINE, FL, 32084 |
| ZIP code: | 32084 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568798965 | 2009-10-20 | 2009-10-20 | 1100 S PONCE DE LEON BLVD, SUITE 3-A, ST AUGUSTINE, FL, 320846099, US | 1100 S PONCE DE LEON BLVD, SUITE 3-A, ST AUGUSTINE, FL, 320846099, US | |||||||||||||
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| Phone | +1 904-429-7071 |
Authorized person
| Name | JAMES L SOLANA JR. |
| Role | PRESIDENT |
| Phone | 9044297071 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LUKE LAW, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| SOLANA JAMES | Managing Member | 3501-B N. PONCE DE LEON BLVD. #112, ST. AUGUSTINE, FL, 32084 |
| DAUTEL JAMES | Managing Member | 60 HARMONY HALL ROAD, MIDDLEBURG, FL, 32068 |
| JACKSONVILLE SPINE AND INJURY CENTER, P.L. | Managing Member | 2255 DUNN AVE. SUITE 201, JACKSONVILLE, FL, 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2011-08-31 |
| Florida Limited Liability | 2010-04-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
