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FLAGLER FAMILY MEDICINE, P.A. - Florida Company Profile

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Company Details

Entity Name: FLAGLER FAMILY MEDICINE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Feb 1996 (30 years ago)
Last Event: AMENDMENT
Event Date Filed: 27 Oct 2015 (10 years ago)
Document Number: P96000011755
FEI/EIN Number 593423198
Address: 130 HEALTH PARK BLVD., ST AUGUSTINE, FL, 32086, US
Mail Address: 130 HEALTH PARK BLVD., ST AUGUSTINE, FL, 32086, US
ZIP code: 32086
City: Saint Augustine
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CLONCH LINDA S Officer 130 HEALTH PARK BLVD, ST AUGUSTINE, FL, 32086
ZUB CHRISTOPHER J Vice President 130 HEALTH PARK BLVD., ST. AUGUSTINE, FL, 32086
LOOK MICHAEL J President 130 HEALTH PARK BLVD., ST AUGUSTINE, FL, 32086
SANCHEZ CARLOS M Secretary 130 HEALTH PARK BLVD., ST AUGUSTINE, FL, 32086
Jguenti Milena Officer 130 HEALTH PARK BLVD., ST AUGUSTINE, FL, 32086
Calain Jodie S Treasurer 130 HEALTH PARK BLVD., ST AUGUSTINE, FL, 32086
Look Michael Agent 130 HEALTH PARK BLVD, ST AUGUSTINE, FL, 32086

National Provider Identifier

NPI Number:
1538646757

Authorized Person:

Name:
WARREN WHITLOCK
Role:
AUTHORIZED OFFICIAL / PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
593423198
Plan Year:
2024
Number Of Participants:
94
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
85
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
82
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
71
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
72
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000083327 FLAGLER FAMILY MEDICINE AND WELLNESS EXPIRED 2014-08-13 2024-12-31 - 130 HEALTH PARK BLVD, ST AUGUSTINE, FL, 32086
G14000014281 LIGHTHOUSE MEDICAL ASSOCIATES EXPIRED 2014-02-10 2024-12-31 - 130 HEALTH PARK BLVD, SAINT AUGUSTINE, FL, 32086

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-02-01 Look, Michael -
AMENDMENT 2015-10-27 - -
CHANGE OF MAILING ADDRESS 2008-03-13 130 HEALTH PARK BLVD., ST AUGUSTINE, FL 32086 -
CHANGE OF PRINCIPAL ADDRESS 1998-01-23 130 HEALTH PARK BLVD., ST AUGUSTINE, FL 32086 -
REGISTERED AGENT ADDRESS CHANGED 1998-01-23 130 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086 -

Documents

Name Date
ANNUAL REPORT 2025-01-14
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-01-21
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-03
ANNUAL REPORT 2018-01-23
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-05-04

Paycheck Protection Program

Jobs Reported:
48
Initial Approval Amount:
$561,097
Date Approved:
2020-05-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$561,097
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$566,077.7
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $561,097

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Date of last update: 02 Aug 2025

Sources: Florida Department of State