| Entity Name: | SUPERIOR PODIATRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SUPERIOR PODIATRY, 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. |
| 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: | 19 Jul 2018 (7 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 03 May 2019 (6 years ago) |
| Document Number: | L18000174391 |
| FEI/EIN Number |
83-1365464
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1690 US Highway 1 South, ST. AUGUSTINE, FL, 32084, US |
| Mail Address: | 1690 US Highway 1 South, ST. AUGUSTINE, FL, 32084, US |
| ZIP code: | 32084 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457839839 | 2018-07-30 | 2020-11-05 | 1690 US HIGHWAY 1 S STE C, SAINT AUGUSTINE, FL, 320846024, US | 1690 US HIGHWAY 1 S STE C, SAINT AUGUSTINE, FL, 320846024, US | |||||||||||||||||||||||||
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| Phone | +1 904-436-8001 |
| Fax | 9043776776 |
Authorized person
| Name | DR. JOHN RANDALL NORTHRUP |
| Role | PRESIDENT/OWNER |
| Phone | 9044368001 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| Is Primary | No |
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101522100 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUPERIOR PODIATRY LLC 401K PLAN | 2023 | 831365464 | 2024-06-18 | SUPERIOR PODIATRY LLC | 9 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-18 |
| Name of individual signing | KEN MAZZIE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9547561792 |
| Plan sponsor’s address | 1690 US HWY 1 SOUTH, ST. AUGUSTINE, FL, 32084 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-28 |
| Name of individual signing | KEN MAZZIE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| NORTHRUP JOHN | Manager | 1690 US Highway 1 South, ST. AUGUSTINE, FL, 32084 |
| NORTHRUP JOHN | Agent | 1690 US Highway 1 South, ST. AUGUSTINE, FL, 32084 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000110220 | SUPERIOR FOOT ANKLE & WOUND CARE | ACTIVE | 2023-09-08 | 2028-12-31 | - | 1690 US HIGHWAY 1 SOUTH, STE C, ST AUGUSTINE, FL, 32084 |
| G23000055705 | SUPERIOR PODIATRY LLC | ACTIVE | 2023-05-02 | 2028-12-31 | - | 1690 US HIGHWAY 1 SOUTH, STE C, ST AUGUSTINE, FL, 32084 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-02-14 | NORTHRUP, JOHN | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-06 | 1690 US Highway 1 South, STE C, ST. AUGUSTINE, FL 32084 | - |
| CHANGE OF MAILING ADDRESS | 2020-01-06 | 1690 US Highway 1 South, STE C, ST. AUGUSTINE, FL 32084 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-06 | 1690 US Highway 1 South, SUITE C, ST. AUGUSTINE, FL 32084 | - |
| LC AMENDMENT AND NAME CHANGE | 2019-05-03 | SUPERIOR PODIATRY, LLC | - |
| LC AMENDMENT AND NAME CHANGE | 2018-09-05 | ST. JOHNS FOOT AND ANKLE SPECIALISTS, LLC | - |
| LC NAME CHANGE | 2018-07-30 | ST. JOHNS FOOT AND ANKLE SPECIALIST, LLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-10 |
| ANNUAL REPORT | 2024-04-09 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-01-06 |
| LC Amendment and Name Change | 2019-05-03 |
| ANNUAL REPORT | 2019-04-22 |
| LC Amendment and Name Change | 2018-09-05 |
| LC Name Change | 2018-07-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2347337302 | 2020-04-29 | 0491 | PPP | 1690 US highway 1 S. C, SAINT AUGUSTINE, FL, 32084-0000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P2465368 | SUPERIOR PODIATRY, LLC | SUPERIOR PODIATRY LLC | DEP9XNEGXTM9 | 1690 US HIGHWAY 1 S STE C, SAINT AUGUSTINE, FL, 32084-6024 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | (none given) |
| Description | Construction Bonding Level (aggregate) |
| Level | (none given) |
| Description | Service Bonding Level (per contract) |
| Level | (none given) |
| Description | Service Bonding Level (aggregate) |
| Level | (none given) |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 621391 |
| NAICS Code's Description | Offices of Podiatrists |
| Buy Green | Yes |
Export Profile (Trade Mission Online)
| Exporter | Firm hasn't answered this question yet |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
