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ST. AUGUSTINE ORAL & FACIAL SURGICAL CENTER, P.A. - Florida Company Profile

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Company Details

Entity Name: ST. AUGUSTINE ORAL & FACIAL SURGICAL CENTER, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ST. AUGUSTINE ORAL & FACIAL SURGICAL CENTER, 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: 07 Jan 2004 (22 years ago)
Document Number: P04000006683
FEI/EIN Number 200618977

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1301 PLANTATION ISLAND DRIVE, SUITE # 101, ST. AUGUSTINE, FL, 32080
Mail Address: 1301 PLANTATION ISLAND DRIVE, SUITE # 101, ST. AUGUSTINE, FL, 32080
ZIP code: 32080
City: Saint Augustine
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JOHNSON DOUGLAS L President 1301 PLANTATION ISLAND DRIVE #101, ST. AUGUSTINE, FL, 32080
JOHNSON DOUGLAS L Secretary 1301 PLANTATION ISLAND DRIVE #101, ST. AUGUSTINE, FL, 32080
JOHNSON DOUGLAS L Treasurer 1301 PLANTATION ISLAND DRIVE #101, ST. AUGUSTINE, FL, 32080
JOHNSON DOUGLAS L Director 1301 PLANTATION ISLAND DRIVE #101, ST. AUGUSTINE, FL, 32080
JOHNSON DOUGLAS L Agent 1301 PLANTATION ISLAND DRIVE, ST. AUGUSTINE, FL, 32080

National Provider Identifier

NPI Number:
1629288824

Authorized Person:

Name:
DR. DOUGLAS L JOHNSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary:
No
Selected Taxonomy:
2082S0099X - Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Is Primary:
No
Selected Taxonomy:
204E00000X - Oral & Maxillofacial Surgery (D.M.D.)
Is Primary:
Yes

Contacts:

Fax:
4797252395
Fax:
9044600506

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2005-04-26 1301 PLANTATION ISLAND DRIVE, SUITE # 101, ST. AUGUSTINE, FL 32080 -
CHANGE OF MAILING ADDRESS 2005-04-26 1301 PLANTATION ISLAND DRIVE, SUITE # 101, ST. AUGUSTINE, FL 32080 -
REGISTERED AGENT NAME CHANGED 2005-04-26 JOHNSON, DOUGLAS L -
REGISTERED AGENT ADDRESS CHANGED 2005-04-26 1301 PLANTATION ISLAND DRIVE, SUITE #101, ST. AUGUSTINE, FL 32080 -

Documents

Name Date
ANNUAL REPORT 2024-03-13
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-03-22
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-02-05

USAspending Awards / Financial Assistance

Date:
2020-04-16
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:
49300.00
Total Face Value Of Loan:
49300.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$49,300
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$49,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$49,797.05
Servicing Lender:
Centerstone SBA Lending, Inc.
Use of Proceeds:
Payroll: $44,000
Utilities: $800
Rent: $4,500

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Date of last update: 01 Jul 2025

Sources: Florida Department of State