| Entity Name: | GULF COAST MEDICAL DOCTORS, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Aug 2016 (9 years ago) |
| Document Number: | L16000145482 |
| FEI/EIN Number | 82-1144006 |
| Address: | 109 W. 23RD STREET, SUITE N-5, PANAMA CITY, FL, 32405 |
| Mail Address: | PO Box 15847, Panama City, FL, 32406, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700312824 | 2017-05-10 | 2017-05-10 | PO BOX 15834, PANAMA CITY, FL, 324065834, US | 109 W 23RD ST, SUITE N5, PANAMA CITY, FL, 324057610, US | |||||||||||||||||
|
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| Phone | +1 850-769-1566 |
Authorized person
| Name | DR. AYMAN ABOULELA |
| Role | OWNER |
| Phone | 8507691566 |
Taxonomy
| Taxonomy Code | 405300000X - Prevention Professional |
| License Number | ME90177 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MALLORY SHERRI D | Agent | 936 Jenks Avenue, PANAMA CITY, FL, 32401 |
| Name | Role | Address |
|---|---|---|
| ABOULELA AYMAN | Manager | 109 W. 23RD STREET, SUITE N-5, PANAMA CITY, FL, 32405 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000103582 | GULF COAST MEDICAL DOCTORS | ACTIVE | 2024-08-29 | 2029-12-31 | No data | 109 WEST 23RD STREET, SUITE N-5, PANAMA CITY, FL, 32405 |
| G16000101222 | GULF COAST MEDICAL DOCTORS | EXPIRED | 2016-09-15 | 2021-12-31 | No data | 109 W. 23RD STREET, SUITE N-5, PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-22 | 936 Jenks Avenue, PANAMA CITY, FL 32401 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-23 | 109 W. 23RD STREET, SUITE N-5, PANAMA CITY, FL 32405 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-03-30 |
| ANNUAL REPORT | 2019-02-13 |
| AMENDED ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-04-11 |
| Florida Limited Liability | 2016-08-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
