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EMERALD WATERS MEDICAL CLINIC, LLC - Florida Company Profile

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Company Details

Entity Name: EMERALD WATERS MEDICAL CLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Jul 2012 (13 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 06 Jan 2015 (11 years ago)
Document Number: L12000094808
FEI/EIN Number 46-0647236
Address: 1005 COLLEGE BLVD WEST, SUITE B, NICEVILLE, FL, 32578, US
Mail Address: 1005 COLLEGE BLVD WEST, SUITE B, NICEVILLE, FL, 32578, US
ZIP code: 32578
City: Niceville
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
STANTON MAURICIA Dr. Manager P.O. BOX 1643, NICEVILLE, FL, 32588
STANTON MAURICIA Agent 1005 COLLEGE BLVD WEST, NICEVILLE, FL, 32578

Unique Entity ID

CAGE Code:
77MX9
UEI Expiration Date:
2019-02-07

Business Information

Activation Date:
2018-02-07
Initial Registration Date:
2014-08-17

Commercial and government entity program

CAGE number:
77MX9
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2023-02-08
CAGE Expiration:
2023-02-07

Contact Information

POC:
MAURICIA D.. STANTON
Corporate URL:
myemeraldwaters.com

National Provider Identifier

NPI Number:
1306192216
Certification Date:
2022-08-03

Authorized Person:

Name:
MS. MAURICIA STANTON
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LW0102X - Women's Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8502796817

Events

Event Type Filed Date Value Description
REINSTATEMENT 2015-01-06 - -
REGISTERED AGENT NAME CHANGED 2015-01-06 STANTON, MAURICIA -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J24000700326 ACTIVE 1000001016554 OKALOOSA 2024-10-17 2034-11-06 $ 342.86 STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 2205 LA VISTA AVE STE B, PENSACOLA FL325048210
J24000414514 ACTIVE 1000001000569 OKALOOSA 2024-06-25 2034-07-03 $ 911.56 STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 2205 LA VISTA AVE STE B, PENSACOLA FL325048210

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-03-17
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-04-19
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-28
ANNUAL REPORT 2017-04-15
ANNUAL REPORT 2016-04-07
REINSTATEMENT 2015-01-06

USAspending Awards / Financial Assistance

Date:
2021-02-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
7184.00
Total Face Value Of Loan:
7184.00
Date:
2012-10-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
PATRIOT EXPRESS
Obligated Amount:
0.00
Face Value Of Loan:
12500.00
Total Face Value Of Loan:
12500.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$7,184
Date Approved:
2021-02-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$7,184
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Veteran
Forgiveness Amount:
$7,288.32
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $7,183

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Date of last update: 03 Aug 2025

Sources: Florida Department of State