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  5. JACKSONVILLE SURGICAL ASSOCIATES, PA

JACKSONVILLE SURGICAL ASSOCIATES, PA - Florida Company Profile

Company Details

Entity Name: JACKSONVILLE SURGICAL ASSOCIATES, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

JACKSONVILLE SURGICAL ASSOCIATES, PA 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: 22 Apr 2016 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Jan 2018 (7 years ago)
Document Number: P16000036441
FEI/EIN Number 20-0446610

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 6817 Southpoint Parkway, Jacksonville, FL, 32216, US
Mail Address: 19906 LOXAHATCHEE POINTE DRIVE, JUPITER, FL, 33458
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235230020 2006-09-26 2023-11-01 PO BOX 551695, JACKSONVILLE, FL, 322551695, US 6817 SOUTHPOINT PKWY STE 703, JACKSONVILLE, FL, 322166280, US

Contacts
Phone +1 904-410-3934
Fax 9045034832

Authorized person
Name DR. ROBERT CYWES
Role PRESIDENT
Phone 9044103934

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number ME85894
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 265205600
State FL
Issuer MEDICARE
Number K5489
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSONVILLE SURGICAL ASSOCIATES PA RETIREMENT PLAN 2013 200446610 2014-06-03 JACKSONVILLE SURGICAL ASSOCIATES, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-12-15
Business code 621111
Sponsor’s telephone number 9043994004
Plan sponsor’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127

Signature of
Role Plan administrator
Date 2014-06-03
Name of individual signing ROBERT CYWES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-03
Name of individual signing ROBERT CYWES
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE SURGICAL ASSOCIATES PA RETIREMENT PLAN 2012 200446610 2013-07-23 JACKSONVILLE SURGICAL ASSOCIATES, PA 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-12-15
Business code 621111
Sponsor’s telephone number 9043994004
Plan sponsor’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127

Signature of
Role Plan administrator
Date 2013-07-01
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-23
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE SURGICAL ASSOCIATES PA RETIREMENT PLAN 2011 200446610 2012-07-16 JACKSONVILLE SURGICAL ASSOCIATES, PA 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-12-15
Business code 621111
Sponsor’s telephone number 9043994004
Plan sponsor’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127

Plan administrator’s name and address
Administrator’s EIN 200446610
Plan administrator’s name JACKSONVILLE SURGICAL ASSOCIATES, PA
Plan administrator’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127
Administrator’s telephone number 9043994004

Signature of
Role Plan administrator
Date 2012-07-16
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-16
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE SURGICAL ASSOCIATES PA RETIREMENT PLAN 2010 200446610 2011-07-05 JACKSONVILLE SURGICAL ASSOCIATES, PA 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-12-15
Business code 621111
Sponsor’s telephone number 9043994004
Plan sponsor’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127

Plan administrator’s name and address
Administrator’s EIN 200446610
Plan administrator’s name JACKSONVILLE SURGICAL ASSOCIATES, PA
Plan administrator’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127
Administrator’s telephone number 9043994004

Signature of
Role Plan administrator
Date 2011-07-05
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-05
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature
JACKSONVILLE SURGICAL ASSOCIATES PA RETIREMENT PLAN 2009 200446610 2010-07-07 JACKSONVILLE SURGICAL ASSOCIATES, PA 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-12-15
Business code 621111
Sponsor’s telephone number 9043994004
Plan sponsor’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127

Plan administrator’s name and address
Administrator’s EIN 200446610
Plan administrator’s name JACKSONVILLE SURGICAL ASSOCIATES, PA
Plan administrator’s address 8825 PERIMETER PARK BLVD STE 101, JACKSONVILLE, FL, 322161127
Administrator’s telephone number 9043994004

Signature of
Role Plan administrator
Date 2010-07-07
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-07
Name of individual signing IRENE WOLFE
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CYWES ROBERT President 19906 LOXAHATCHEE POINTE DRIVE, JUPITER, FL, 33458
cywes Janae Chief Operating Officer 19906 LOXAHATCHEE POINTE DR, Jupiter, FL, 33458
CYWES ROBERT Agent 19906 LOXAHATCHEE POINTE DRIVE, JUPITER, FL, 33458

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-03-02 6817 Southpoint Parkway, STE 703, Jacksonville, FL 32216 -
REINSTATEMENT 2018-01-17 - -
REGISTERED AGENT NAME CHANGED 2018-01-17 CYWES, ROBERT -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J19000181758 LAPSED 502018CA007403XXXXMB 15TH JUDICIAL CIRCUIT PALM BEA 2019-03-12 2024-03-14 $114,677.39 VALLEY NATIONAL BANK, 1700 PALM BEACH LAKES BLVD,, STE 1000, WEST PALM BEACH, FL 33401

Documents

Name Date
ANNUAL REPORT 2025-02-11
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-01-20
ANNUAL REPORT 2021-03-02
ANNUAL REPORT 2020-03-09
ANNUAL REPORT 2019-02-25
REINSTATEMENT 2018-01-17
Domestic Profit 2016-04-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6808427100 2020-04-14 0491 PPP 8833 PERIMETER PARK BLVD #202, JACKSONVILLE, FL, 32216-1111
Loan Status Date 2021-04-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 18100
Loan Approval Amount (current) 18100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 94399
Servicing Lender Name iTHINK Financial CU
Servicing Lender Address 1000 NW 17th Ave, DELRAY BEACH, FL, 33445-2555
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE, DUVAL, FL, 32216-1111
Project Congressional District FL-05
Number of Employees 3
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 94399
Originating Lender Name iTHINK Financial CU
Originating Lender Address DELRAY BEACH, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 18263.4
Forgiveness Paid Date 2021-03-15

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JACKSONVILLE SURGICAL ASSOCIATES, P.A. - Inactive
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JACKSONVILLE SURGICAL ASSOCIATES, P.A. - Inactive
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RNRDEN, LLC - Active
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RNRJUP, LLC - Active
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6817 Southpoint Parkway, Jacksonville, FL, 32216, US

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Date of last update: 01 Apr 2025

Sources: Florida Department of State

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