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COASTALMDLIVE, LLC - Florida Company Profile

Company Details

Entity Name: COASTALMDLIVE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

COASTALMDLIVE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 31 Jan 2020 (5 years ago)
Document Number: L20000038231
FEI/EIN Number 87-3875962

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 913 Gulf Breeze Parkway Suite 3, gulf breeze, FL, 32561, US
Mail Address: 100 Northcliffe Dr. #100, gulf breeze, FL, 32562, US
ZIP code: 32561
County: Santa Rosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255039418 2023-02-17 2023-02-17 913 GULF BREEZE PKWY STE 3, GULF BREEZE, FL, 325614728, US 913 GULF BREEZE PKWY STE 3, GULF BREEZE, FL, 325614728, US

Contacts

Phone +1 850-860-4679

Authorized person

Name RANDY NEIL
Role OWNER/PHYSICIAN
Phone 8508604679

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes

Key Officers & Management

Name Role Address
NEIL RANDY K Manager 1 PORTOFINO DRIVE UNIT 1502, PENSACOLA BEACH, FL, 32561
NEIL RANDY K Agent 1 PORTOFINO DRIVE UNIT 1502, PENSACOLA BEACH, FL, 32561

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2025-01-24 913 Gulf Breeze Parkway Suite 3, gulf breeze, FL 32561 -
CHANGE OF MAILING ADDRESS 2024-04-17 913 Gulf Breeze Parkway Suite 3, gulf breeze, FL 32561 -
CHANGE OF PRINCIPAL ADDRESS 2021-11-29 913 Gulf Breeze Parkway Suite 3, gulf breeze, FL 32561 -

Documents

Name Date
ANNUAL REPORT 2025-01-24
ANNUAL REPORT 2024-01-23
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-01-20
ANNUAL REPORT 2021-02-14
Florida Limited Liability 2020-01-31

Date of last update: 01 Apr 2025

Sources: Florida Department of State