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FLAGLER PSYCHIATRIC ASSOCIATES LLC - Florida Company Profile

Company Details

Entity Name: FLAGLER PSYCHIATRIC ASSOCIATES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

FLAGLER PSYCHIATRIC ASSOCIATES 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: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 20 Jun 2017 (8 years ago)
Document Number: L17000133841
FEI/EIN Number 82-1952875

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

Address: 6277 A1A S., UNIT 202, ST. AUGUSTINE, FL, 32080
Mail Address: 6277 A1A S., UNIT 202, ST. AUGUSTINE, FL, 32080, US
ZIP code: 32080
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386163939 2017-09-14 2022-07-21 6277 A1A S UNIT 202, ST AUGUSTINE, FL, 320807515, US 6277 A1A S UNIT 202, ST AUGUSTINE, FL, 320807515, US

Contacts

Phone +1 904-907-1070
Fax 9496605868

Authorized person

Name DR. BENJAMIN WATKINS LACY V
Role OWNER
Phone 9049071070

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
License Number ME128307
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
LACY BENJAMIN V Authorized Member 6277 A1A S., ST. AUGUSTINE, FL, 32080
LACY BENJAMIN WV Agent 6277 A1A S., ST. AUGUSTINE, FL, 32080

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-01 6277 A1A S., UNIT 202, ST. AUGUSTINE, FL 32080 -
REGISTERED AGENT ADDRESS CHANGED 2022-01-12 6277 A1A S., UNIT 202, ST. AUGUSTINE, FL 32080 -
CHANGE OF MAILING ADDRESS 2019-02-10 6277 A1A S., UNIT 202, ST. AUGUSTINE, FL 32080 -

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-14
ANNUAL REPORT 2022-01-12
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-04-18
Florida Limited Liability 2017-06-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1660887207 2020-04-15 0491 PPP 6277 A1A S STE 202, SAINT AUGUSTINE, FL, 32080-7515
Loan Status Date 2020-12-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 20832
Loan Approval Amount (current) 20832
Undisbursed Amount 0
Franchise Name -
Lender Location ID 456078
Servicing Lender Name Intracoastal Bank
Servicing Lender Address 1290 NW Palm Coast Pkwy, PALM COAST, FL, 32137-4738
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SAINT AUGUSTINE, SAINT JOHNS, FL, 32080-7515
Project Congressional District FL-06
Number of Employees 1
NAICS code 621330
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 456078
Originating Lender Name Intracoastal Bank
Originating Lender Address PALM COAST, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 21041.48
Forgiveness Paid Date 2021-04-15

Date of last update: 01 Apr 2025

Sources: Florida Department of State