| Entity Name: | COASTAL ESTHETICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jun 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Oct 2019 (5 years ago) |
| Document Number: | L18000144829 |
| FEI/EIN Number | 83-0890044 |
| Address: | 109 W. Knapp Avenue, Edgewater, FL, 32132, US |
| Mail Address: | 109 W. Knapp Avenue, Edgewater, FL, 32132, US |
| ZIP code: | 32132 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114572245 | 2019-08-06 | 2022-04-26 | 109 W KNAPP AVE, EDGEWATER, FL, 321321555, US | 109 W KNAPP AVE, EDGEWATER, FL, 321321555, US | |||||||||||||||
|
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| Phone | +1 386-957-4100 |
| Fax | 3869574104 |
Authorized person
| Name | CARISSA PETERSON |
| Role | OWNER/APRN |
| Phone | 3869574100 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COASTAL ESTHETICS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| PETERSON CARISSA | Authorized Member | 472 OLD MISSION RD, NEW SMYRNA BEACH, FL, 32168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-08 | 109 W. Knapp Avenue, Edgewater, FL 32132 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-08 | 109 W. Knapp Avenue, Edgewater, FL 32132 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-29 | Coastal Esthetics, LLC | No data |
| REINSTATEMENT | 2019-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-29 |
| REINSTATEMENT | 2019-10-02 |
| Florida Limited Liability | 2018-06-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
