| Entity Name: | STACY EDWARDS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
STACY EDWARDS, INC. 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: | 10 Apr 2006 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Sep 2024 (8 months ago) |
| Document Number: | P06000051479 |
| FEI/EIN Number |
861166353
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2623 McCormick Drive, Clearwater, FL, 33759, US |
| Mail Address: | 2623 McCormick Drive, Clearwater, FL, 33759, US |
| ZIP code: | 33759 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1730105172 | 2006-07-15 | 2024-10-29 | 1022 MAIN ST, SUITE M, DUNEDIN, FL, 346985225, US | 2623 MCCORMICK DR STE 101, CLEARWATER, FL, 337591046, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-733-7922 |
| Fax | 7377386205 |
| Phone | +1 727-564-9336 |
| Fax | 7272233228 |
Authorized person
| Name | DR. STACY L EDWARDS |
| Role | PHYSICIAN |
| Phone | 7274106655 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS7714 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AVMED |
| Number | 257297 |
| State | FL |
| Issuer | AETNA |
| Number | 5580758 |
| State | FL |
| Issuer | HUMANA |
| Number | 123421 |
| State | FL |
| Issuer | BCBS |
| Number | 20886 |
| State | FL |
| Issuer | CIGNA |
| Number | 0161979008 |
| State | FL |
| Issuer | AETNA |
| Number | 1057441 |
| State | FL |
| Issuer | BAYCARE |
| Number | 1320 |
| State | FL |
| Issuer | UHC |
| Number | 0001713 |
| State | FL |
| Issuer | UHC |
| Number | 0412595 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| EDWARDS STACY L | President | 2283 RANCHETTE LANE, DUNEDIN, FL, 34698 |
| BUETTNER LARRY | Secretary | 2283 RANCHETTE LANE, DUNEDIN, FL, 34698 |
| EDWARDS STACY | Agent | 2283 RANCHETTE LANE, DUNEDIN, FL, 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-03 | 2623 McCormick Drive, Suite 101, Clearwater, FL 33759 | - |
| REINSTATEMENT | 2024-09-12 | - | - |
| CHANGE OF MAILING ADDRESS | 2024-09-12 | 2623 McCormick Drive, Suite 101, Clearwater, FL 33759 | - |
| REGISTERED AGENT NAME CHANGED | 2024-09-12 | EDWARDS, STACY | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-06 | 2283 RANCHETTE LANE, DUNEDIN, FL 34698 | - |
| AMENDMENT | 2009-11-12 | - | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-03 |
| REINSTATEMENT | 2024-09-12 |
| ANNUAL REPORT | 2016-03-06 |
| ANNUAL REPORT | 2015-03-05 |
| ANNUAL REPORT | 2014-03-25 |
| ANNUAL REPORT | 2013-03-20 |
| ANNUAL REPORT | 2012-03-02 |
| ANNUAL REPORT | 2011-04-12 |
| ANNUAL REPORT | 2010-04-01 |
| Amendment | 2009-11-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3528508610 | 2021-03-17 | 0491 | PPP | 6216 Deson Dr, Orlando, FL, 32808 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
