| Entity Name: | EMERALD COAST MEDICAL MANAGEMENT, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Apr 2015 (10 years ago) |
| Date of dissolution: | 14 Jun 2018 (7 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 Jun 2018 (7 years ago) |
| Document Number: | L15000062143 |
| FEI/EIN Number | 47-3774784 |
| Address: | 42 BUSINESS CENTER DR, # 308, MIRAMAR BEACH, FL, 32550, US |
| Mail Address: | 10241 CHAMPION FARMS DR, LOUISVILLE, KY, 40241, US |
| ZIP code: | 32550 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497134068 | 2015-05-28 | 2015-06-08 | 42 BUSINESS CENTRE DR, SUITE 308, MIRAMAR BEACH, FL, 325506920, US | 42 BUSINESS CENTRE DR, SUITE 308, MIRAMAR BEACH, FL, 325506920, US | |||||||||||||||||||
|
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| Phone | +1 850-460-8778 |
| Fax | 8504608779 |
Authorized person
| Name | DR. CHRISTOPHER LEE NELSON |
| Role | OWNER |
| Phone | 5024231021 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| License Number | ME123663 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| NELSON CHRISTOPHER DR | Member | 6705 ELMCROFT CIRCLE, LOUISVILLE, KY, 40241 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000047990 | EMERALD COAST REHABILITATION | EXPIRED | 2015-05-14 | 2020-12-31 | No data | 42 BUSINESS CENTER DR, #308, MIRAMAR BEACH, FL, 32550 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2018-06-14 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-16 | 42 BUSINESS CENTER DR, # 308, MIRAMAR BEACH, FL 32550 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2018-06-14 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-16 |
| Florida Limited Liability | 2015-04-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
