| Entity Name: | GULF COAST THERAPY CONNECTION, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 13 Aug 2013 (12 years ago) |
| Date of dissolution: | 29 Apr 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Apr 2018 (7 years ago) |
| Document Number: | L13000113868 |
| FEI/EIN Number | 46-3413876 |
| Address: | 1789 BAYSHORE BOULEVARD, DUNEDIN, FL 34698 |
| Mail Address: | 1789 BAYSHORE BOULEVARD, DUNEDIN, FL 34698 |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780017244 | 2013-08-19 | 2013-08-19 | 1789 BAYSHORE BLVD, DUNEDIN, FL, 346983343, US | 1789 BAYSHORE BLVD, DUNEDIN, FL, 346983343, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 813-298-4192 |
Authorized person
| Name | MARGRIT H. GOODHAND |
| Role | OWNER |
| Phone | 8132984192 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW9212 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 19964000 |
| State | FL |
| Issuer | MEDICARE ID # |
| Number | FV668Z |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Goodhand, Margrit Herma | Agent | 1789 BAYSHORE BOULEVARD, DUNEDIN, FL 34698 |
| Name | Role | Address |
|---|---|---|
| GOODHAND, MARGRIT Herma | Managing Member | 1789 BAYSHORE BOULEVARD, DUNEDIN, FL 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-04-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-01 | Goodhand, Margrit Herma | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-01 | 1789 BAYSHORE BOULEVARD, DUNEDIN, FL 34698 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2018-04-29 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-01 |
| ANNUAL REPORT | 2014-04-29 |
| Florida Limited Liability | 2013-08-13 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
