| Entity Name: | COAST FAMILY CARE GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Mar 2012 (13 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 10 Jun 2020 (5 years ago) |
| Document Number: | L12000033799 |
| FEI/EIN Number | 99-2086512 |
| Address: | 451 SW BETHANY DR, 103, PORT ST LUCIE, FL 34986 |
| Mail Address: | 2914 Summer Swan Dr, Orlando, FL 32825 |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396010120 | 2012-03-12 | 2024-06-04 | 451 SW BETHANY DR STE 103, PORT SAINT LUCIE, FL, 349861964, US | 451 SW BETHANY DR STE 103, PORT SAINT LUCIE, FL, 349861964, US | |||||||||||||
|
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| Phone | +1 832-867-8019 |
Authorized person
| Name | DR. DENIS A VILCHEZ |
| Role | OWNER |
| Phone | 8328678019 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VILCHEZ, DENIS A | Agent | 2914 Summer Swan Dr, Orlando, FL 32825 |
| Name | Role | Address |
|---|---|---|
| VILCHEZ, DENIS A | Manager | 2914 Summer Swan Dr, Orlando, FL 32825 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000070029 | SUNSHINE PRIMARY CARE | ACTIVE | 2024-06-05 | 2029-12-31 | No data | 451 SW BETHANY DR SUITE #103, PORT ST LUCIE, FL, 34986 |
| G23000031769 | SUNSHINE PRIMARY CARE | ACTIVE | 2023-03-08 | 2028-12-31 | No data | 2914 SUMMER SWAN DR, ORLANDO, FL, 32825 |
| G20000042693 | COAST FAMILY CLINIC | ACTIVE | 2020-04-17 | 2025-12-31 | No data | 2914 SUMMER SWAN DR, ORLANDO, FL, 32825 |
| G12000024745 | COAST FAMILY CLINIC | EXPIRED | 2012-03-11 | 2017-12-31 | No data | 2612 GREG MALLOY LN, BONIFAY, FL, 32425 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-22 | 451 SW BETHANY DR, 103, PORT ST LUCIE, FL 34986 | No data |
| LC NAME CHANGE | 2020-06-10 | COAST FAMILY CARE GROUP LLC | No data |
| CHANGE OF MAILING ADDRESS | 2017-05-04 | 451 SW BETHANY DR, 103, PORT ST LUCIE, FL 34986 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-04 | 2914 Summer Swan Dr, Orlando, FL 32825 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-06-19 |
| LC Name Change | 2020-06-10 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-05-04 |
| ANNUAL REPORT | 2016-04-30 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
