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 |
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 | |||||||||||||
|
Phone | +1 772-546-9591 |
Authorized person
Name | JENEANE WAKULA |
Role | OFFICE MANAGER |
Phone | 7725469591 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DORFMAN DAVID | Agent | 1173 ELEUTHERA DR. NE, PALM BAY, FL, 32905 |
Name | Role | Address |
---|---|---|
MAHALO LLC | Member | No data |
FENTON BLAKE T | Member | 4711 SCENIC HWY, PENSACOLA, FL, 32504 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2023-04-28 | 4711 SCENIC HWY, PENSACOLA, FL 32504 | No data |
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