| Entity Name: | EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
EMERALD COAST INFECTIOUS DISEASES MEDICAL GROUP, 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: | 04 Oct 2004 (21 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 09 Jan 2006 (19 years ago) |
| Document Number: | P04000137184 |
| FEI/EIN Number |
562483799
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 917 MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| Mail Address: | 917 MAR WALT DRIVE, 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720017882 | 2006-07-01 | 2008-04-25 | 917 MAR WALT DR, FORT WALTON BEACH, FL, 325476759, US | 917 MAR WALT DR, FORT WALTON BEACH, FL, 325476759, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 850-862-3979 |
Authorized person
| Name | SANDY ANASTASIO |
| Role | OFFICE MANAGER |
| Phone | 8508623979 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SQUATRITO ERIC | President | 917 MAR WALT DRIVE SUTE, FORT WALTON BEACH, FL, 32547 |
| SQUATRITO ERIC | Secretary | 917 MAR WALT DRIVE SUTE, FORT WALTON BEACH, FL, 32547 |
| SQUATRITO ERIC | Treasurer | 917 MAR WALT DRIVE SUTE, FORT WALTON BEACH, FL, 32547 |
| SQUATRITO ERIC | Director | 917 MAR WALT DRIVE SUTE, FORT WALTON BEACH, FL, 32547 |
| GEAR KELLEY | Vice President | 917 MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| GEAR KELLEY | President | 917 MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| GEAR KELLEY | Secretary | 917 MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| GEAR KELLEY | Treasurer | 917 MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| MARQUARDT BAMBI | Secretary | 917 MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| BAMBI MARQUARDT | Agent | 917 MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000130724 | BAY FOOT AND ANKLE CENTER | ACTIVE | 2024-10-24 | 2029-12-31 | - | 917 MAR WALT DR, FORT WALTON BEACH, FL, 32547 |
| G24000102383 | AMERICAN MEDICAL GROUP | ACTIVE | 2024-08-28 | 2029-12-31 | - | 917 MAR WALT DR, FORT WALTON BEACH, FL, 32547 |
| G16000024110 | SYNERGY SPECIALTY PHARMACY | ACTIVE | 2016-03-07 | 2026-12-31 | - | 917 MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-16 | BAMBI, MARQUARDT | - |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-09 | 917 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547 | - |
| CHANGE OF MAILING ADDRESS | 2007-01-09 | 917 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2007-01-09 | 917 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547 | - |
| CANCEL ADM DISS/REV | 2006-01-09 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-01-17 |
| AMENDED ANNUAL REPORT | 2016-06-23 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
