| Entity Name: | EMERALD COAST MEDICAL SUPPLIES LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 Jun 2013 (12 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L13000083454 |
| FEI/EIN Number | 46-2958587 |
| Address: | 48 BALD EAGLE DRIVE, SANTA ROSA BEACH, FL, 32459, US |
| Mail Address: | 48 BALD EAGLE DRIVE, SANTA ROSA BEACH, FL, 32459, US |
| ZIP code: | 32459 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023540648 | 2017-04-02 | 2020-09-28 | 48 BALD EAGLE DR, SANTA ROSA BEACH, FL, 324598342, US | 48 BALD EAGLE DR, SANTA ROSA BEACH, FL, 32459, US | |||||||||||||||||||||
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| Phone | +1 850-420-2240 |
| Fax | 8503449758 |
Authorized person
| Name | TARA FOSTER |
| Role | OWNER |
| Phone | 8504202240 |
Taxonomy
| Taxonomy Code | 335V00000X - Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA BLUE |
| Number | 7EHGC |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FOSTER TARA | Agent | 48 BALD EAGLE DRIVE, SANTA ROSA BEACH, FL, 32459 |
| Name | Role | Address |
|---|---|---|
| FOSTER TARA | Managing Member | 48 BALD EAGLE DRIVE, SANTA ROSA BEACH, FL, 32459 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000027102 | EMERALD COAST ULTRASOUND | ACTIVE | 2021-02-25 | 2026-12-31 | No data | 48 BALD EAGLE DRIVE, SANTA ROSA BEACH, FL, 32459 |
| G19000088699 | COASTAL ULTRASOUND SERVICES | EXPIRED | 2019-08-21 | 2024-12-31 | No data | 48 BALD EAGLE DRIVE, SANTA ROSA BEACH, FL, 32459 |
| G17000057677 | COASTAL ULTRASOUND SERVICES LLC | EXPIRED | 2017-05-23 | 2022-12-31 | No data | 48 BALD EAGLE DRIVE, SANTA ROSA BEACH, FL, 32459 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| LC AMENDMENT | 2017-06-05 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-10 | 48 BALD EAGLE DRIVE, SANTA ROSA BEACH, FL 32459 | No data |
| LC AMENDMENT | 2014-10-31 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-07-25 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-03-05 |
| ANNUAL REPORT | 2019-03-29 |
| ANNUAL REPORT | 2018-01-18 |
| LC Amendment | 2017-06-05 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-12 |
| LC Amendment | 2014-10-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
