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DESTIN SURGERY CLINIC, P.A. - Florida Company Profile

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Company Details

Entity Name: DESTIN SURGERY CLINIC, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 15 Sep 1993 (32 years ago)
Document Number: P93000065450
FEI/EIN Number 593203584
Address: 415 MOUNTAIN DRIVE, STE. 6, DESTIN, FL, 32541, US
Mail Address: P. O. BOX 368, DESTIN, FL, 32540, US
ZIP code: 32541
City: Destin
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MOODY JAMES A Director 415 MOUNTAIN DR, STE 6, DESTIN, FL, 43541
MATTHEWS DANA Agent 4475 LEGENDARY DRIVE, DESTIN, FL, 32541

National Provider Identifier

NPI Number:
1457661605

Authorized Person:

Name:
JAMES A MOODY
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
8508379137

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2017-01-16 MATTHEWS, DANA -
REGISTERED AGENT ADDRESS CHANGED 2017-01-16 4475 LEGENDARY DRIVE, DESTIN, FL 32541 -
CHANGE OF PRINCIPAL ADDRESS 1994-05-01 415 MOUNTAIN DRIVE, STE. 6, DESTIN, FL 32541 -
CHANGE OF MAILING ADDRESS 1994-05-01 415 MOUNTAIN DRIVE, STE. 6, DESTIN, FL 32541 -

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-03-20
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-26
ANNUAL REPORT 2017-01-16
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-01-27

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
23275.00
Total Face Value Of Loan:
23275.00
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
23275.00
Total Face Value Of Loan:
23275.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$23,275
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$23,275
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$23,548.56
Servicing Lender:
FNBT Bank
Use of Proceeds:
Payroll: $23,275

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Date of last update: 01 Aug 2025

Sources: Florida Department of State