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EMERALD COAST MEDICAL SOLUTIONS, LLC

Company Details

Entity Name: EMERALD COAST MEDICAL SOLUTIONS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Mar 2019 (6 years ago)
Document Number: L19000079482
FEI/EIN Number 83-4077684
Address: 4711 SCENIC HWY, PENSACOLA, FL, 32504
Mail Address: 9044 SE Bridge road, HOBE SOUND, 33455, UN
ZIP code: 32504
County: Escambia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861952269 2019-03-21 2019-03-21 8929 SE BRIDGE RD, HOBE SOUND, FL, 334555312, US 4711 SCENIC HWY, PENSACOLA, FL, 325049018, US

Contacts

Phone +1 772-546-9591

Authorized person

Name JENEANE WAKULA
Role OFFICE MANAGER
Phone 7725469591

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
DORFMAN DAVID Agent 1173 ELEUTHERA DR. NE, PALM BAY, FL, 32905

Member

Name Role Address
MAHALO LLC Member No data
FENTON BLAKE T Member 4711 SCENIC HWY, PENSACOLA, FL, 32504

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-04-28 4711 SCENIC HWY, PENSACOLA, FL 32504 No data

Documents

Name Date
ANNUAL REPORT 2024-01-19
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-07-31
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-05-31
Florida Limited Liability 2019-03-21

Date of last update: 01 Feb 2025

Sources: Florida Department of State