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SURGICAL CENTER OF PONTE VEDRA BEACH, LLC - Florida Company Profile

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Company Details

Entity Name: SURGICAL CENTER OF PONTE VEDRA BEACH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SURGICAL CENTER OF PONTE VEDRA BEACH, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 04 Sep 2014 (11 years ago)
Date of dissolution: 23 Sep 2022 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (3 years ago)
Document Number: L14000138175
FEI/EIN Number 47-2133947

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1030 A1A North, Ponte Vedra Beach, FL, 32082, US
Mail Address: 1030 A1A North, Ponte Vedra Beach, FL, 32082, US
ZIP code: 32082
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Schneider Timothy LMD Manager 1030 A1A North, Ponte Vedra Beach, FL, 32082
Harris John BMD Manager 1030 A1A North, Ponte Vedra Beach, FL, 32082
Collier Frank RMD Manager 1030 A1A North, Ponte Vedra Beach, FL, 32082
Hakim Farid MD Manager 1030 A1A North, Ponte Vedra Beach, FL, 32082
FARAH LAW Agent 6550 St. Augustine Road, Jacksonville, FL, 32217

National Provider Identifier

NPI Number:
1609269232

Authorized Person:

Name:
KRYSTYN COLLIER
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9072851197

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000107895 PONTE VEDRA BEACH SURGERY CENTER EXPIRED 2014-10-24 2024-12-31 - 1030 A1A NORTH, PONTE VEDRA BEACH, FL, 32082

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-09-29 FARAH LAW -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
LC STMNT OF AUTHORITY 2019-10-21 - -
LC DISSOCIATION MEM 2017-05-26 - -
REGISTERED AGENT ADDRESS CHANGED 2017-04-28 6550 St. Augustine Road, Suite 103, Jacksonville, FL 32217 -
LC AMENDMENT 2016-09-26 - -
CHANGE OF MAILING ADDRESS 2015-02-13 1030 A1A North, Ponte Vedra Beach, FL 32082 -
CHANGE OF PRINCIPAL ADDRESS 2015-02-13 1030 A1A North, Ponte Vedra Beach, FL 32082 -

Documents

Name Date
Reg. Agent Resignation 2022-12-27
ANNUAL REPORT 2021-04-24
ANNUAL REPORT 2020-03-17
CORLCAUTH 2019-10-21
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-03-04
CORLCDSMEM 2017-05-26
ANNUAL REPORT 2017-04-28
AMENDED ANNUAL REPORT 2016-12-08
LC Amendment 2016-09-26

USAspending Awards / Financial Assistance

Date:
2021-03-10
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:
112909.03
Total Face Value Of Loan:
112909.03
Date:
2020-04-15
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:
133122.00
Total Face Value Of Loan:
133122.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
133122
Current Approval Amount:
133122
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
134601.13
Date Approved:
2021-03-10
Loan Status:
Charged Off
SBA Guaranty Percentage:
100
Initial Approval Amount:
112909.03
Current Approval Amount:
112909.03
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered

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Date of last update: 02 Jun 2025

Sources: Florida Department of State