| Entity Name: | EMERALD COAST WELLNESS CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
EMERALD COAST WELLNESS CENTER 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 17 Dec 2009 (15 years ago) |
| Date of dissolution: | 23 Sep 2016 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (9 years ago) |
| Document Number: | L09000119714 |
| FEI/EIN Number |
271508094
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 128 JOHN KING RD, CRESTVIEW, FL, 32539, US |
| Mail Address: | 128 JOHN KING RD, CRESTVIEW, FL, 32539, US |
| ZIP code: | 32539 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417287855 | 2010-01-07 | 2015-09-02 | 138 BAYWIND DR, NICEVILLE, FL, 325784800, US | 138 BAYWIND DR, NICEVILLE, FL, 325784800, US | |||||||||||||||||||||||||||||
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| Phone | +1 850-398-4155 |
| Fax | 8503984142 |
Authorized person
| Name | DR. HENRY ALEXANDER BOILINI |
| Role | PSYCHIATRIST |
| Phone | 8505435678 |
Taxonomy
| Taxonomy Code | 2084P0805X - Geriatric Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008056800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent | - |
| BOILINI HENRY | Managing Member | 128 JOHN KING RD, CRESTVIEW, FL, 32539 |
| BOILINI MARGARET | Managing Member | 128 JOHN KING RD, CRESTVIEW, FL, 32539 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000056841 | EMERALD COAST WELLNESS CENTER | EXPIRED | 2010-06-21 | 2015-12-31 | - | 128 JOHN KING RD, SUITE 14, CRESTVIEW, FL, 32539 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-02 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-26 | 128 JOHN KING RD, Suite 18, CRESTVIEW, FL 32539 | - |
| CHANGE OF MAILING ADDRESS | 2015-03-26 | 128 JOHN KING RD, Suite 18, CRESTVIEW, FL 32539 | - |
| LC AMENDMENT | 2012-08-27 | - | - |
| LC AMENDMENT | 2011-11-07 | - | - |
| REINSTATEMENT | 2011-02-15 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-03-26 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-09 |
| ANNUAL REPORT | 2012-08-30 |
| LC Amendment | 2012-08-27 |
| LC Amendment | 2011-11-07 |
| REINSTATEMENT | 2011-02-15 |
| Florida Limited Liability | 2009-12-17 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
