| Entity Name: | COASTAL CRANIOFACIAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Feb 2018 (7 years ago) |
| Date of dissolution: | 01 Mar 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Mar 2019 (6 years ago) |
| Document Number: | L18000053614 |
| Address: | 1100 AIRPORT BLVD, SUITE A, PENSACOLA, FL, 32504, US |
| Mail Address: | 1100 AIRPORT BLVD, SUITE A, PENSACOLA, FL, 32504, US |
| ZIP code: | 32504 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215438817 | 2018-02-28 | 2018-02-28 | 1100 AIRPORT BLVD STE A, PENSACOLA, FL, 325048622, US | 1100 AIRPORT BLVD STE A, PENSACOLA, FL, 325048622, US | |||||||||||||||
|
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| Phone | +1 850-477-7715 |
| Fax | 8504744823 |
Authorized person
| Name | AARON WALLENDER |
| Role | PRESIDENT/OWNER |
| Phone | 8504777715 |
Taxonomy
| Taxonomy Code | 204E00000X - Oral & Maxillofacial Surgery (D.M.D.) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WALLENDER AARON | Agent | 1100 AIRPORT BLVD, PENSACOLA, FL, 32504 |
| Name | Role | Address |
|---|---|---|
| WALLENDER AARON | Manager | 1100 AIRPORT BLVD, PENSACOLA, FL, 32504 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-03-01 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-03-01 |
| Florida Limited Liability | 2018-02-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
