| Entity Name: | FIRST COAST MEDICAL AND DENTAL SUPPLY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Mar 2015 (10 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 04 Sep 2015 (9 years ago) |
| Document Number: | L15000040225 |
| FEI/EIN Number | 47-3325836 |
| Address: | 140 NORTH ONE DRIVE, SUITE B, SAINT AUGUSTINE, FL 32095 |
| Mail Address: | 140 NORTH ONE DRIVE, SUITE B, SAINT AUGUSTINE, FL 32095 |
| ZIP code: | 32095 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083442826 | 2024-07-23 | 2024-07-23 | 140 N ONE DR STE B, ST AUGUSTINE, FL, 320958372, US | 140 N ONE DR STE B, ST AUGUSTINE, FL, 320958372, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 904-460-2549 |
| Fax | 9048148380 |
Authorized person
| Name | MR. LADD NICHOLS |
| Role | MANAGER |
| Phone | 9048811804 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Nichols, Michael Ladd | Agent | 140 NORTH ONE DRIVE, SUITE B, SAINT AUGUSTINE, FL 32095 |
| Name | Role | Address |
|---|---|---|
| NICHOLS, MICHAEL L | Manager | 2486 Las Calinas Blvd, SAINT AUGUSTINE, FL 32095 |
| NICHOLS, I.REBECCA | Manager | 2486 Las Calinas, SAINT AUGUSTINE, FL 32095 |
| Michael, Nichols Edward | Manager | 140 NORTH ONE DRIVE, SUITE B SAINT AUGUSTINE, FL 32095 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-01-21 | Nichols, Michael Ladd | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-21 | 140 NORTH ONE DRIVE, SUITE B, SAINT AUGUSTINE, FL 32095 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-07 | 140 NORTH ONE DRIVE, SUITE B, SAINT AUGUSTINE, FL 32095 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-07 | 140 NORTH ONE DRIVE, SUITE B, SAINT AUGUSTINE, FL 32095 | No data |
| LC AMENDMENT AND NAME CHANGE | 2015-09-04 | FIRST COAST MEDICAL AND DENTAL SUPPLY LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-01-21 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-04-21 |
| LC Amendment and Name Change | 2015-09-04 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
