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  5. ST. AUGUSTINE FOOT & ANKLE, INC.

ST. AUGUSTINE FOOT & ANKLE, INC. - Florida Company Profile

Company Details

Entity Name: ST. AUGUSTINE FOOT & ANKLE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

ST. AUGUSTINE FOOT & ANKLE, 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: 07 Jul 2009 (16 years ago)
Document Number: P09000058026
FEI/EIN Number 270517060

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 1 ST. JOHNS MEDICAL PARK DR., ST. AUGUSTINE, FL, 32086
Mail Address: 1 ST. JOHNS MEDICAL PARK DR, ST. AUGUSTINE, FL, 32086
ZIP code: 32086
County: St. Johns
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235916123 2023-09-13 2023-09-30 1 SAINT JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL, 320865300, US 1 SAINT JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL, 320865300, US

Contacts
Phone +1 904-824-0869

Authorized person
Name MIA CONNOR
Role MANAGER
Phone 9048240869

Taxonomy
Taxonomy Code 207RR0500X - Rheumatology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ST. AUGUSTINE FOOT & ANKLE, INC. 401(K) PLAN 2022 270517060 2024-02-15 ST. AUGUSTINE FOOT & ANKLE, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621391
Sponsor’s telephone number 9048240869
Plan sponsor’s address 1 SAINT JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086
ST. AUGUSTINE FOOT & ANKLE, INC. 401(K) PLAN 2021 270517060 2022-10-19 ST. AUGUSTINE FOOT & ANKLE, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621391
Sponsor’s telephone number 9048240869
Plan sponsor’s address 1 SAINT JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2022-10-19
Name of individual signing THOM LEBEAU
Valid signature Filed with authorized/valid electronic signature
ST. AUGUSTINE FOOT & ANKLE, INC. 401(K) PLAN 2020 270517060 2021-09-15 ST. AUGUSTINE FOOT & ANKLE, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621391
Sponsor’s telephone number 9048240869
Plan sponsor’s address 1 SAINT JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2021-09-15
Name of individual signing JOSHNA NAPOLITANO
Valid signature Filed with authorized/valid electronic signature
ST. AUGUSTINE FOOT & ANKLE, INC. 401(K) PLAN 2019 270517060 2020-09-24 ST. AUGUSTINE FOOT & ANKLE, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621391
Sponsor’s telephone number 9048240869
Plan sponsor’s address 1 SAINT JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2020-09-24
Name of individual signing JOSHNA NAPOLITANO
Valid signature Filed with authorized/valid electronic signature
ST. AUGUSTINE FOOT & ANKLE, INC. 401(K) PLAN 2018 270517060 2019-05-22 ST. AUGUSTINE FOOT & ANKLE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621391
Sponsor’s telephone number 9048240869
Plan sponsor’s address 1 SAINT JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2019-05-22
Name of individual signing JOSHNA NAPOLITANO
Valid signature Filed with authorized/valid electronic signature
ST. AUGUSTINE FOOT & ANKLE, INC. 401(K) PLAN 2017 270517060 2018-08-24 ST. AUGUSTINE FOOT & ANKLE, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621391
Sponsor’s telephone number 9048240869
Plan sponsor’s address 1 SAINT JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2018-08-24
Name of individual signing JOSHNA NAPOLITANO
Valid signature Filed with authorized/valid electronic signature
ST. AUGUSTINE FOOT & ANKLE, INC. 401(K) PLAN 2016 270517060 2017-07-26 ST. AUGUSTINE FOOT & ANKLE, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621391
Sponsor’s telephone number 9048240869
Plan sponsor’s address 1 SAINT JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2017-07-26
Name of individual signing JOSHNA NAPOLITANO
Valid signature Filed with authorized/valid electronic signature
ST. AUGUSTINE FOOT & ANKLE, INC. 401(K) PLAN 2015 270517060 2016-06-28 ST. AUGUSTINE FOOT & ANKLE, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621391
Sponsor’s telephone number 9048240869
Plan sponsor’s address 1 SAINT JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing JOSHNA NAPOLITANO
Valid signature Filed with authorized/valid electronic signature
ST. AUGUSTINE FOOT & ANKLE, INC. 401(K) PLAN 2014 270517060 2015-09-01 ST. AUGUSTINE FOOT & ANKLE, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621391
Sponsor’s telephone number 9048240869
Plan sponsor’s address 1 SAINT JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2015-09-01
Name of individual signing JOSHNA NAPOLITANO
Valid signature Filed with authorized/valid electronic signature
ST. AUGUSTINE FOOT & ANKLE, INC. 401(K) PLAN 2013 270517060 2014-07-16 ST. AUGUSTINE FOOT & ANKLE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-02-01
Business code 621391
Sponsor’s telephone number 9048240869
Plan sponsor’s address 1 SAINT JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086

Signature of
Role Plan administrator
Date 2014-07-16
Name of individual signing JOSHNA NAPOLITANO
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
LEBEAU THOMAS President 1 ST. JOHNS MEDICAL PARK DR., ST. AUGUSTINE, FL, 32086
WILLIAM R. HUSEMAN, P.A. Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000131289 NEUROPATHY & PAIN CENTER OF ST AUGUSTINE ACTIVE 2024-10-25 2029-12-31 - 1 ST JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086
G24000019067 ST AUGUSTINE WOUND CENTER ACTIVE 2024-02-04 2029-12-31 - 1 ST JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086
G23000116822 ST AUGUSTINE LYMPHEDEMA CENTER ACTIVE 2023-09-20 2028-12-31 - 1 ST JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086
G23000091395 ST AUGUSTINE RHEUMATOLOGY CENTER ACTIVE 2023-08-04 2028-12-31 - 1 ST JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086
G21000045793 ST AUGUSTINE DERMATOLOGY ASSOCIATES ACTIVE 2021-04-03 2026-12-31 - 1 ST JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086
G19000050818 ST AUGUSTINE FOOT, ANKLE & VEIN EXPIRED 2019-04-24 2024-12-31 - 1 ST JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086
G13000023364 LONGEVITY PHYSICAL THERAPY CENTER ACTIVE 2013-03-07 2028-12-31 - 1 ST JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-02-06 9310 Old King South, Suite 701, Jacksonville, FL 32257 -
REGISTERED AGENT NAME CHANGED 2013-04-15 William R. Huseman, P.A. -
CHANGE OF PRINCIPAL ADDRESS 2012-04-26 1 ST. JOHNS MEDICAL PARK DR., ST. AUGUSTINE, FL 32086 -
CHANGE OF MAILING ADDRESS 2012-04-26 1 ST. JOHNS MEDICAL PARK DR., ST. AUGUSTINE, FL 32086 -

Documents

Name Date
ANNUAL REPORT 2024-04-28
ANNUAL REPORT 2023-03-13
ANNUAL REPORT 2022-03-21
ANNUAL REPORT 2021-04-03
ANNUAL REPORT 2020-06-18
ANNUAL REPORT 2019-03-03
ANNUAL REPORT 2018-02-06
ANNUAL REPORT 2017-01-18
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-09-25

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4370257103 2020-04-13 0491 PPP 1 SAINT JOHNS MEDICAL PARK DR, SAINT AUGUSTINE, FL, 32086
Loan Status Date 2021-06-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 236000
Loan Approval Amount (current) 236000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SAINT AUGUSTINE, SAINT JOHNS, FL, 32086-0001
Project Congressional District FL-06
Number of Employees 22
NAICS code 621391
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 238497.67
Forgiveness Paid Date 2021-05-18

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Companies related by address

No other companies in our directory share the same address as ST. AUGUSTINE FOOT & ANKLE, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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