| Entity Name: | EMERALD COAST SPORTS MEDICINE AND ORTHOPAEDICS, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
EMERALD COAST SPORTS MEDICINE AND ORTHOPAEDICS, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation 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: | 13 Nov 2002 (22 years ago) |
| Document Number: | P02000121217 |
| FEI/EIN Number |
651160592
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 339 RACETRACK RD., SUITE 12, FORT WALTON BEACH, FL, 32547 |
| Mail Address: | 339 RACETRACK RD., SUITE 12, FORT WALTON BEACH, FL, 32547 |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972583326 | 2006-01-20 | 2017-04-07 | 339 RACETRACK RD NW, SUITE 12, FORT WALTON BEACH, FL, 325471538, US | 339 RACETRACK RD NW, SUITE 12, FORT WALTON BEACH, FL, 325471538, US | |||||||||||||||
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| Phone | +1 850-864-3339 |
| Fax | 8508641715 |
Authorized person
| Name | LEO C CHEN |
| Role | PRESIDENT |
| Phone | 8508643339 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EMERALD COAST SPORTS MEDICINE & ORT 401(K) PLAN | 2023 | 651160592 | 2024-06-11 | EMERALD COAST SPORTS MEDICINE AND ORTHOPAEDICS, P.A. | 9 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-11 |
| Name of individual signing | LEO CHEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8509022244 |
| Plan sponsor’s address | 339 RACETRACK ROAD, SUITE #12, FORT WALTON BEACH, FL, 32547 |
Signature of
| Role | Plan administrator |
| Date | 2024-07-17 |
| Name of individual signing | LEO CHEN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 8509022244 |
| Plan sponsor’s address | 339 RACETRACK ROAD, SUITE #12, FORT WALTON BEACH, FL, 32547 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-09 |
| Name of individual signing | LEO CHEN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MCINNIS C. JEFFREY | Agent | 909 MAR WALT DRIVE SUITE 1014, FORT WALTON BEACH, FL, 32547 |
| CHEN LEO C | President | 339 RACETRACK RD. STE 12, FORT WALTON BEACH, FL, 32547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2009-04-06 | 339 RACETRACK RD., SUITE 12, FORT WALTON BEACH, FL 32547 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-04 | 339 RACETRACK RD., SUITE 12, FORT WALTON BEACH, FL 32547 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-15 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-05-26 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-04-07 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6833158405 | 2021-02-11 | 0491 | PPS | 339 Racetrack Rd NW Ste 12, Fort Walton Beach, FL, 32547-1538 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7396997006 | 2020-04-07 | 0491 | PPP | 339 Racetrack Road STE. 12, FORT WALTON BEACH, FL, 32547 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
