| Entity Name: | GULF COAST AUDIOLOGY OF SOUTHWEST FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
GULF COAST AUDIOLOGY OF SOUTHWEST FLORIDA, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| 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: | 05 Sep 2007 (18 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 07 Oct 2019 (6 years ago) |
| Document Number: | L07000090702 |
| FEI/EIN Number |
260849407
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8900 GLADIOLUS DR., SUITE #201, FORT MYERS, FL, 33908, US |
| Mail Address: | 8900 GLADIOLUS DR., SUITE #201, FORT MYERS, FL, 33908, US |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306012067 | 2008-05-02 | 2008-07-11 | 8900 GLADIOLUS DR, SUITE 201, FORT MYERS, FL, 339084487, US | 8900 GLADIOLUS DR, SUITE 201, FORT MYERS, FL, 339084487, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 239-267-7888 |
| Fax | 2392670409 |
Authorized person
| Name | DR. DRIANIS DURAN |
| Role | AUDIOLOGIST/OWNER |
| Phone | 2392677888 |
Taxonomy
| Taxonomy Code | 261QH0700X - Hearing and Speech Clinic/Center |
| License Number | AY1164 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 600507100 |
| State | FL |
| Issuer | GHI |
| Number | 0140162 |
| Issuer | TRICARE |
| Number | 1548335813 |
| Issuer | BCBS |
| Number | S9326 |
| Issuer | AMERIGROUP |
| Number | 01088308 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GULF COAST AUDIOLOGY OF SOUTHWEST FL CASH BALANCE PLAN | 2023 | 260849407 | 2024-10-14 | GULF COAST AUDIOLOGY OF SOUTHWEST FLORIDA | 5 | |||||||||||||
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| GULF COAST AUDIOLOGY OF SOUTHWEST FL 401(K) PROFIT SHARING PLAN | 2023 | 260849407 | 2024-10-15 | GULF COAST AUDIOLOGY OF SOUTHWEST FLORIDA | 5 | |||||||||||||
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| GULF COAST AUDIOLOGY OF SOUTHWEST FL CASH BALANCE PLAN | 2022 | 260849407 | 2023-11-29 | GULF COAST AUDIOLOGY OF SOUTHWEST FLORIDA | 4 | |||||||||||||
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| GULF COAST AUDIOLOGY OF SOUTHWEST FL 401(K) PROFIT SHARING PLAN | 2022 | 260849407 | 2023-11-29 | GULF COAST AUDIOLOGY OF SOUTHWEST FLORIDA | 4 | |||||||||||||
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| GULF COAST AUDIOLOGY OF SOUTHWEST FL 401(K) PROFIT SHARING PLAN | 2021 | 260849407 | 2023-02-10 | GULF COAST AUDIOLOGY OF SOUTHWEST FLORIDA | 4 | |||||||||||||
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| GULF COAST AUDIOLOGY OF SOUTHWEST FL CASH BALANCE PLAN | 2021 | 260849407 | 2023-02-13 | GULF COAST AUDIOLOGY OF SOUTHWEST FLORIDA | 4 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| DURAN DRIANIS | Manager | 8900 GLADIOLUS DR. #201, FORT MYERS, FL, 33908 |
| DLF REGISTERED AGENT SERVICE, LLC | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G07249900178 | GULF COAST AUDIOLOGY | ACTIVE | 2007-09-06 | 2027-12-31 | - | 8900 GLADIOLUS DR., #201, FORT MYERS, FL, 33908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-05-11 | DLF Registered Agent Service, LLC | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-05-11 | 10181 SIX MILE CYPRESS PARKWAY, SUITE C, FORT MYERS, FL 33966 | - |
| LC AMENDMENT | 2019-10-07 | - | - |
| REINSTATEMENT | 2019-03-27 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-08-22 | 8900 GLADIOLUS DR., SUITE #201, FORT MYERS, FL 33908 | - |
| CHANGE OF MAILING ADDRESS | 2008-08-22 | 8900 GLADIOLUS DR., SUITE #201, FORT MYERS, FL 33908 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-20 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-05-11 |
| LC Amendment | 2019-10-07 |
| REINSTATEMENT | 2019-03-27 |
| ANNUAL REPORT | 2017-04-13 |
| AMENDED ANNUAL REPORT | 2016-08-02 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
