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ST. AUGUSTINE SPECIALTY HEALTHCARE, INC.

Company Details

Entity Name: ST. AUGUSTINE SPECIALTY HEALTHCARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 20 Jan 2023 (2 years ago)
Document Number: N23000000757
FEI/EIN Number 922083498
Address: 4255 US Hwy 1 South, ST. AUGUSTINE, FL, 32086, US
Mail Address: 4255 US Hwy 1 South, Ste 18 #250, STE 18 #250, FL, 32086, US
ZIP code: 32086
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568146751 2023-06-09 2023-09-14 4255 US HWY 1 S STE 18, #250, ST AUGUSTINE, FL, 32086, US 308 GRACIELA CIR, ST AUGUSTINE, FL, 320867837, US

Contacts

Phone +1 904-495-1610
Phone +1 210-508-5621

Authorized person

Name KATRINIA L KRAEMER
Role PRESIDENT
Phone 9044951610

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

Agent

Name Role
UNIVERSAL REGISTERED AGENTS, INC. Agent

President

Name Role Address
KRAEMER KATRINIA President 308 GRACIELA CIRCLE, ST. AUGUSTINE, FL, 32086

Director

Name Role Address
KRAEMER KATRINIA Director 308 GRACIELA CIRCLE, ST. AUGUSTINE, FL, 32086
KRAEMER ROBERT Director 308 GRACIELA CIRCLE, ST. AUGUSTINE, FL, 32086
VENEGAS YVONNE Director 15715 ROBIN VIEW, SAN ANTONIO, TX, 78255
ARANAGA PAM Director 956 ASPEN RIDGE COURT, ORANGE PARK, FL, 32065
NAJERA MARCELINO S Director 11860 IRMA J LANE, ATASCOSA, TX, 78002

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000034993 SASH CLINIC ACTIVE 2023-03-16 2028-12-31 No data 4255 US HWY 1 SOUTH,SUITE 18 #250, ST.AUGUSTINE, FL, 32086

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-05 Universal Registered Agents, Inc. No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-05 1317 California Street, Tallahassee, FL 32304 No data
CHANGE OF PRINCIPAL ADDRESS 2023-06-20 4255 US Hwy 1 South, STE 18 #250, ST. AUGUSTINE, FL 32086 No data
CHANGE OF MAILING ADDRESS 2023-06-20 4255 US Hwy 1 South, STE 18 #250, ST. AUGUSTINE, FL 32086 No data

Documents

Name Date
ANNUAL REPORT 2024-04-05
Domestic Non-Profit 2023-01-20

Date of last update: 02 Feb 2025

Sources: Florida Department of State