| Entity Name: | ST AUGUSTINE PEDIATRIC ASSOCIATES, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ST AUGUSTINE PEDIATRIC ASSOCIATES, PA 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 20 Feb 2003 (22 years ago) |
| Date of dissolution: | 27 Sep 2024 (7 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (7 months ago) |
| Document Number: | P03000020979 |
| FEI/EIN Number |
421577151
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12877 Cannington Cove Terrace, Jacksonville, FL, 32258, US |
| Mail Address: | 12877 Cannington Cove Terrace, Jacksonville, FL, 32258, US |
| ZIP code: | 32258 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447461421 | 2007-05-24 | 2015-07-21 | 493 PROSPERITY LAKE DR, ST AUGUSTINE, FL, 320925045, US | 493 PROSPERITY LAKE DR, ST AUGUSTINE, FL, 320925045, US | |||||||||||||||||||||||||
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| Phone | +1 904-824-5437 |
| Fax | 9048247575 |
Authorized person
| Name | MICHAEL SOBERANO |
| Role | OWNER |
| Phone | 9048245437 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME78696 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 257545101 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SOBERANO MICHAEL M | President | 12877 Cannington Cove Terrace, Jacksonville, FL, 32258 |
| Soberano Gregory A | Auth | 12877 Cannington Cove Terrace, Jacksonville, FL, 32258 |
| Soberano GREGORY A | Vice President | 12877 Cannington Cove Terrace, Jacksonville, FL, 32258 |
| SOBERANO MICHAEL M | Agent | 12877 Cannington Cove Terrace, Jacksonville, FL, 32258 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-25 | 12877 Cannington Cove Terrace, Jacksonville, FL 32258 | - |
| CHANGE OF MAILING ADDRESS | 2023-04-25 | 12877 Cannington Cove Terrace, Jacksonville, FL 32258 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-25 | 12877 Cannington Cove Terrace, Jacksonville, FL 32258 | - |
| AMENDMENT | 2020-04-16 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-03-10 | SOBERANO, MICHAEL M | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-05-11 |
| Amendment | 2020-04-16 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-10 |
| ANNUAL REPORT | 2017-03-26 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-02-11 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
