| Entity Name: | COASTAL FAMILY PRACTICE & ACUTE CARE CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jul 2005 (20 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 28 Apr 2010 (15 years ago) |
| Document Number: | L05000073913 |
| FEI/EIN Number | 900388829 |
| Address: | 9961 East County Hwy 30A, Seacrest, FL, 32461, US |
| Mail Address: | 9961 East County Hwy 30A, Seacrest, FL, 32461, US |
| ZIP code: | 32461 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639223886 | 2007-01-23 | 2010-07-07 | 9961 E COUNTY HIGHWAY 30A, SUITE #5, PANAMA CITY BEACH, FL, 324137282, US | 9961 E COUNTY HIGHWAY 30A, SUITE #5, PANAMA CITY BEACH, FL, 324137282, US | |||||||||||||||
|
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| Phone | +1 850-231-9286 |
| Fax | 8502319287 |
Authorized person
| Name | MR. WILLIAM ROBERT MARSHALL |
| Role | BILLING MANAGER |
| Phone | 8502319286 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAWKINS CARMEL D | Agent | 9961 East County Hwy 30A, Seacrest, FL, 32461 |
| Name | Role | Address |
|---|---|---|
| CARMEL DILLARD HAWKINS | Manager | 9961 East County Hwy 30A, Seacrest, FL, 32461 |
| MARSHALL WILLIAM R | Manager | 9961 East County Hwy 30A, Seacrest, FL, 32461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-24 | 9961 East County Hwy 30A, STE 5, Seacrest, FL 32461 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-24 | 9961 East County Hwy 30A, STE 5, Seacrest, FL 32461 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-24 | 9961 East County Hwy 30A, STE 5, Seacrest, FL 32461 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-29 | HAWKINS, CARMEL D | No data |
| CANCEL ADM DISS/REV | 2010-04-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000315331 | TERMINATED | 1000000994137 | BAY | 2024-05-17 | 2034-05-22 | $ 1,582.76 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PANAMA CITY SERVICE CENTER, 2480 SAINT ANDREWS BLVD, PANAMA CITY FL324052169 |
| J24000315497 | TERMINATED | 1000000994154 | BAY | 2024-05-17 | 2044-05-22 | $ 2,797.89 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PANAMA CITY SERVICE CENTER, 2480 SAINT ANDREWS BLVD, PANAMA CITY FL324052169 |
| J23000090886 | TERMINATED | 1000000945214 | BAY | 2023-02-24 | 2033-03-01 | $ 3,807.66 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PANAMA CITY SERVICE CENTER, 2480 SAINT ANDREWS BLVD, PANAMA CITY FL324052169 |
| J17000547986 | TERMINATED | 1000000756919 | WALTON | 2017-10-02 | 2037-10-05 | $ 827.85 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PANAMA CITY SERVICE CENTER, 210 N TYNDALL PKWY, PANAMA CITY FL324046432 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-05-06 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
