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FOUNDATIONS MEDICAL CENTER, PLLC - Florida Company Profile

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Company Details

Entity Name: FOUNDATIONS MEDICAL CENTER, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Sep 2014 (11 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 27 Oct 2014 (11 years ago)
Document Number: L14000147110
FEI/EIN Number 47-2256578
Address: 4467 Commons Drive W., Suite F-G, Destin, FL, 32541, US
Mail Address: 4467 Commons Drive W., Destin, FL, 32541, US
ZIP code: 32541
City: Destin
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CHAVERS KYLE Manager 4467 Commons Drive W., Destin, FL, 32541
Chavers Amanda Manager 4467 Commons Drive W., Destin, FL, 32541
CHAVERS KYLE Agent 4467 Commons Drive W., Destin, FL, 32541

National Provider Identifier

NPI Number:
1811598105
Certification Date:
2020-11-03

Authorized Person:

Name:
KYLE S CHAVERS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8502699002

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-05-08 4467 Commons Drive W., Suite F-G, Destin, FL 32541 -
CHANGE OF MAILING ADDRESS 2017-05-08 4467 Commons Drive W., Suite F-G, Destin, FL 32541 -
REGISTERED AGENT ADDRESS CHANGED 2017-05-08 4467 Commons Drive W., Suite F-G, Destin, FL 32541 -
LC NAME CHANGE 2014-10-27 FOUNDATIONS MEDICAL CENTER, PLLC -

Documents

Name Date
ANNUAL REPORT 2025-01-03
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-02-23
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-06-10
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-05-08
ANNUAL REPORT 2016-04-25

USAspending Awards / Financial Assistance

Date:
2021-02-04
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:
68918.00
Total Face Value Of Loan:
68918.00
Date:
2020-04-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
7000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
7000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-07
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:
61450.00
Total Face Value Of Loan:
61450.00
Date:
2020-04-07
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:
61450.00
Total Face Value Of Loan:
61450.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$61,450
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$61,450
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$61,850.53
Servicing Lender:
Trustmark National Bank
Use of Proceeds:
Payroll: $61,450
Jobs Reported:
7
Initial Approval Amount:
$68,918
Date Approved:
2021-02-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$68,918
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$69,756.34
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $68,916
Utilities: $1

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Date of last update: 01 Aug 2025

Sources: Florida Department of State