Search icon

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

Company Details

Entity Name: DESTIN SURGERY CLINIC, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

DESTIN SURGERY CLINIC, P.A. 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: 15 Sep 1993 (32 years ago)
Document Number: P93000065450
FEI/EIN Number 593203584

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 415 MOUNTAIN DRIVE, STE. 6, DESTIN, FL, 32541, US
Mail Address: P. O. BOX 368, DESTIN, FL, 32540, US
ZIP code: 32541
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457661605 2010-10-20 2010-10-20 P.O. BOX 368, DESTIN, FL, 32540, US 415 MOUNTAIN DRIVE, SUITE # 6, DESTIN, FL, 32541, US

Contacts

Phone +1 850-837-8831
Fax 8508379137

Authorized person

Name JAMES A MOODY
Role PHYSICIAN/OWNER
Phone 8508378831

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME0052108
State FL
Is Primary Yes

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

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6864157009 2020-04-07 0491 PPP P.O. Box 368, DESTIN, FL, 32540
Loan Status Date 2021-07-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 23275
Loan Approval Amount (current) 23275
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17104
Servicing Lender Name FNBT Bank
Servicing Lender Address 29 N Eglin Pkwy, FORT WALTON BEACH, FL, 32548-5452
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address DESTIN, OKALOOSA, FL, 32540-0001
Project Congressional District FL-01
Number of Employees 5
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 17104
Originating Lender Name FNBT Bank
Originating Lender Address FORT WALTON BEACH, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 23548.56
Forgiveness Paid Date 2021-06-28

Date of last update: 01 Apr 2025

Sources: Florida Department of State