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ASSOCIATED COASTAL EAR, NOSE & THROAT PHYSICIANS, P.A. - Florida Company Profile

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Company Details

Entity Name: ASSOCIATED COASTAL EAR, NOSE & THROAT PHYSICIANS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Jan 2001 (25 years ago)
Document Number: P01000009485
FEI/EIN Number 593695241
Address: 4632 S 25 ST, FT PIERCE, FL, 34981
Mail Address: 4632 S 25 ST, FT PIERCE, FL, 34981
ZIP code: 34981
City: Fort Pierce
County: St. Lucie
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SLACK CHRISTOPHER President 4632 S 25TH ST, FORT PIERCE, FL, 34981
RICHARDS MICHELE L Vice President 4632 S 25TH STREET, FORT PIERCE, FL, 34981
Phillips Jesse Secretary 4632 S. 25th St, Fort Pierce, FL, 34981
Slack Christopher l Agent 4632 S 25 ST, FT PIERCE, FL, 34981

National Provider Identifier

NPI Number:
1134299753
Certification Date:
2023-02-03

Authorized Person:

Name:
MICHELLE BROWNING
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Y00000X - Otolaryngology Physician
Is Primary:
Yes

Contacts:

Fax:
7724649582
Fax:
9545874219

Form 5500 Series

Employer Identification Number (EIN):
593695241
Plan Year:
2023
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
30
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-04-03 Slack, Christopher l -
CHANGE OF PRINCIPAL ADDRESS 2005-05-17 4632 S 25 ST, FT PIERCE, FL 34981 -
CHANGE OF MAILING ADDRESS 2005-05-17 4632 S 25 ST, FT PIERCE, FL 34981 -
REGISTERED AGENT ADDRESS CHANGED 2005-05-17 4632 S 25 ST, FT PIERCE, FL 34981 -

Documents

Name Date
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-03-10
AMENDED ANNUAL REPORT 2020-04-03
ANNUAL REPORT 2020-03-03
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-03-12
ANNUAL REPORT 2017-03-17
ANNUAL REPORT 2016-04-07

USAspending Awards / Financial Assistance

Date:
2021-06-29
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:
370100.00
Total Face Value Of Loan:
370100.00
Date:
2020-04-15
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:
451074.60
Total Face Value Of Loan:
451074.60
Date:
2020-04-15
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:
451074.60
Total Face Value Of Loan:
451074.60

Paycheck Protection Program

Jobs Reported:
33
Initial Approval Amount:
$451,074.6
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$451,074.6
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$453,646.14
Servicing Lender:
Synovus Bank
Use of Proceeds:
Payroll: $451,074.6
Jobs Reported:
34
Initial Approval Amount:
$370,100
Date Approved:
2021-06-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$370,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$371,925.15
Servicing Lender:
Synovus Bank
Use of Proceeds:
Payroll: $370,097
Utilities: $1

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Date of last update: 02 Aug 2025

Sources: Florida Department of State