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ST. AUGUSTINE PHYSICAL MEDICINE, LLC - Florida Company Profile

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Company Details

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 (14 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2011 (14 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
City: Saint Augustine
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
JACKSONVILLE SPINE AND INJURY CENTER, P.L. Managing Member 2255 DUNN AVE. SUITE 201, JACKSONVILLE, FL, 32218
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

National Provider Identifier

NPI Number:
1568798965

Authorized Person:

Name:
JAMES L SOLANA JR.
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -

Documents

Name Date
Reg. Agent Resignation 2011-08-31
Florida Limited Liability 2010-04-12

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Date of last update: 03 Aug 2025

Sources: Florida Department of State