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 |
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 | |||||||||||||||
|
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 |
Name | Role |
---|---|
UNIVERSAL REGISTERED AGENTS, INC. | Agent |
Name | Role | Address |
---|---|---|
KRAEMER KATRINIA | President | 308 GRACIELA CIRCLE, ST. AUGUSTINE, FL, 32086 |
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 |
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 |
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 |
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