| Entity Name: | WEST COAST THERAPY SPECIALIST LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jun 2011 (14 years ago) |
| Document Number: | L11000072869 |
| FEI/EIN Number | 452604865 |
| Address: | 4707 140th Ave N, Clearwater, FL, 33762, US |
| Mail Address: | 4707 140th Ave N, Ste 313, Clearwater, FL, 33762, US |
| ZIP code: | 33762 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578810776 | 2012-08-07 | 2024-04-30 | 4707 140TH AVE N STE 313, CLEARWATER, FL, 337623841, US | 4707 140TH AVE N STE 313, CLEARWATER, FL, 337623841, US | |||||||||||||||||||||||
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| Phone | +1 727-223-8978 |
| Fax | 7273033952 |
Authorized person
| Name | MELISSA JO EWING |
| Role | OWNER |
| Phone | 9173368422 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WEST COAST THERAPY SPECIALIST, LLC 401 (K) PLAN | 2015 | 452604865 | 2016-04-25 | WEST COAST THERAPY SPECIALIST, LLC | 3 | |||||||||||||||||||||||
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| WEST COAST THERAPY SPECIALIST, LLC 401 (K) PLAN | 2014 | 452604865 | 2015-10-05 | WEST COAST THERAPY SPECIALIST, LLC | 5 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-10-05 |
| Name of individual signing | STEPHEN DUVALL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 7277683877 |
| Plan sponsor’s address | 542 JOHNS PASS AVENUE, MADEIRA BEACH, FL, 33708 |
Signature of
| Role | Plan administrator |
| Date | 2014-10-15 |
| Name of individual signing | STEPHEN DUVALL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Duvall MELISA | Agent | 4707 140th Ave N, Clearwater, FL, 33762 |
| Name | Role | Address |
|---|---|---|
| Duvall Melisa | Managing Member | 4707 140th Ave N, Clearwater, FL, 33762 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000131240 | Q MED CONSULTING | EXPIRED | 2016-12-07 | 2021-12-31 | No data | 4707 140TH AVE N, SUITE 313, CLEARWATER, FL, 33762 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-10 | Duvall, MELISA | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-13 | 4707 140th Ave N, Ste 313, Clearwater, FL 33762 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-13 | 4707 140th Ave N, Ste 313, Clearwater, FL 33762 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-04 | 4707 140th Ave N, Ste 313, Clearwater, FL 33762 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-10 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-03-04 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
