| Entity Name: | COASTAL MUA OF VOLUSIA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 May 2008 (17 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | L08000045361 |
| Address: | 665 BEVILLE ROAD, SUITE K, SOUTH DAYTONA, FL, 32119 |
| Mail Address: | 665 BEVILLE ROAD, SUITE K, SOUTH DAYTONA, FL, 32119 |
| ZIP code: | 32119 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811137623 | 2009-03-06 | 2009-03-06 | 665 BEVILLE RD, SUITE K, SOUTH DAYTONA, FL, 321191957, US | 665 BEVILLE RD, SUITE K, SOUTH DAYTONA, FL, 321191957, US | |||||||||||||||||||
|
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| Phone | +1 386-758-9871 |
| Fax | 3868685108 |
Authorized person
| Name | DR. RODNEY A WEST |
| Role | MANAGER MEMBER |
| Phone | 3865898719 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | CH8958 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WESTCARE HEALTH SERVICES, PA | Agent |
| Name | Role | Address |
|---|---|---|
| WEST RODNEY A | Manager | 665 BEVILLE ROAD, SUITE K, SOUTH DAYTONA, FL, 32119 |
| WESTCARE HEALTH SERVICES, PA | Manager | No data |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| 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 |
|---|---|---|---|---|---|---|---|
| J10000313988 | ACTIVE | 1000000154689 | VOLUSIA | 2009-12-18 | 2030-02-16 | $ 579.90 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE/CENTRAL COLLECTIONS UNIT, 5050 W TENNESSEE ST, TALLAHASSEE FL323996586 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2008-05-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
