Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. St. Johns
    4. ›
  4. 32086
    5. ›
  5. ST. AUGUSTINE FOOT & ANKLE, INC.

ST. AUGUSTINE FOOT & ANKLE, INC.

Company Details

Entity Name: ST. AUGUSTINE FOOT & ANKLE, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 07 Jul 2009 (16 years ago)
Document Number: P09000058026
FEI/EIN Number 27-0517060
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

Agent

Name Role
WILLIAM R. HUSEMAN, P.A. Agent

President

Name Role Address
LEBEAU, THOMAS President 1 ST. JOHNS MEDICAL PARK DR., ST. AUGUSTINE, FL 32086

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 No data 1 ST JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086
G24000019067 ST AUGUSTINE WOUND CENTER ACTIVE 2024-02-04 2029-12-31 No data 1 ST JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086
G23000116822 ST AUGUSTINE LYMPHEDEMA CENTER ACTIVE 2023-09-20 2028-12-31 No data 1 ST JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086
G23000091395 ST AUGUSTINE RHEUMATOLOGY CENTER ACTIVE 2023-08-04 2028-12-31 No data 1 ST JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086
G21000045793 ST AUGUSTINE DERMATOLOGY ASSOCIATES ACTIVE 2021-04-03 2026-12-31 No data 1 ST JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086
G19000050818 ST AUGUSTINE FOOT, ANKLE & VEIN EXPIRED 2019-04-24 2024-12-31 No data 1 ST JOHNS MEDICAL PARK DRIVE, ST AUGUSTINE, FL, 32086
G13000023364 LONGEVITY PHYSICAL THERAPY CENTER ACTIVE 2013-03-07 2028-12-31 No data 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 No data
REGISTERED AGENT NAME CHANGED 2013-04-15 William R. Huseman, P.A. No data
CHANGE OF PRINCIPAL ADDRESS 2012-04-26 1 ST. JOHNS MEDICAL PARK DR., ST. AUGUSTINE, FL 32086 No data
CHANGE OF MAILING ADDRESS 2012-04-26 1 ST. JOHNS MEDICAL PARK DR., ST. AUGUSTINE, FL 32086 No data

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

Related by officers

LEBEAU, THOMAS

NORTH FLORIDA NERVE CENTERS, LLC GIFTED VAULT, LLC

Related by address

No related companies by address

Date of last update: 25 Jan 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated