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COAST MED SUPPLIES LLC

Company Details

Entity Name: COAST MED SUPPLIES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 27 Jun 2019 (6 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L19000169055
FEI/EIN Number 84-2273040
Address: 4101 N. ANDREWS AVENUE, 101, OAKLAND PARK, FL 33309
Mail Address: 4101 N. ANDREWS AVENUE, 101, OAKLAND PARK, FL 33309
ZIP code: 33309
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265094981 2019-07-02 2019-12-08 4101 N ANDREWS AVE STE 101, OAKLAND PARK, FL, 333094769, US 4101 N ANDREWS AVE STE 101, OAKLAND PARK, FL, 333094769, US

Contacts

Phone +1 561-577-3294

Authorized person

Name DIANA PEREZ
Role MANAGING MEMBER
Phone 5615773294

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
WALKER, ADAM Agent 4101 N. ANDREWS AVENUE, 101, OAKLAND PARK, FL 33309

Manager

Name Role Address
PEREZ, DIANA Manager 6157 MESSANA TERRACE, LAKE WORTH, FL 33463

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REGISTERED AGENT ADDRESS CHANGED 2021-05-01 4101 N. ANDREWS AVENUE, 101, OAKLAND PARK, FL 33309 No data

Documents

Name Date
ANNUAL REPORT 2021-05-01
ANNUAL REPORT 2020-03-11
Florida Limited Liability 2019-06-27

Date of last update: 16 Jan 2025

Sources: Florida Department of State