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STACI APPLETON, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: STACI APPLETON, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Nov 1996 (29 years ago)
Document Number: P96000090532
FEI/EIN Number 593409242
Address: 405 Downing Street, New Smyrna Beach, FL, 32168, US
Mail Address: P.O. Box 278, New Smyrna Beach, FL, 32170, US
ZIP code: 32168
City: New Smyrna Beach
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
APPLETON STACI M Director Post Office Box 278, New Smyrna Beach, FL, 32170
APPLETON STACI M.D. Agent 405 Downing Street, New Smyrna Beach, FL, 32168

National Provider Identifier

NPI Number:
1942632260
Certification Date:
2024-10-11

Authorized Person:

Name:
HOLLIE LOUCKS
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3864268839

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000084004 APPLETON INTERNAL MEDICINE ACTIVE 2013-08-23 2028-12-31 - PO BOX 278, NEW SMYRNA BEACH, FL, 32170

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2016-03-04 405 Downing Street, New Smyrna Beach, FL 32168 -
CHANGE OF MAILING ADDRESS 2016-03-04 405 Downing Street, New Smyrna Beach, FL 32168 -
REGISTERED AGENT ADDRESS CHANGED 2016-03-04 405 Downing Street, New Smyrna Beach, FL 32168 -
REGISTERED AGENT NAME CHANGED 2014-04-14 APPLETON, STACI, M.D. -

Documents

Name Date
ANNUAL REPORT 2024-02-08
ANNUAL REPORT 2023-03-16
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-04-13
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-03-29
ANNUAL REPORT 2017-04-04
ANNUAL REPORT 2016-03-04
ANNUAL REPORT 2015-04-28

USAspending Awards / Financial Assistance

Date:
2020-05-03
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:
47158.00
Total Face Value Of Loan:
47158.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$47,158
Date Approved:
2021-01-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$47,158
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$47,636.04
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $47,158
Jobs Reported:
6
Initial Approval Amount:
$47,158
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$47,158
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$47,991.34
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $47,158

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Date of last update: 01 Aug 2025

Sources: Florida Department of State