| Entity Name: | COASTAL HEALTH INSTITUTE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Mar 2020 (5 years ago) |
| Document Number: | L20000072217 |
| FEI/EIN Number | 852371587 |
| Address: | 9889 GATE PKWY N, JACKSONVILLE, FL, 32246, US |
| Mail Address: | 9889 GATE PKWY N, JACKSONVILLE, FL, 32246, US |
| ZIP code: | 32246 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528674074 | 2020-09-21 | 2020-09-21 | 11555 CENTRAL PKWY STE 201, JACKSONVILLE, FL, 322242693, US | 11555 CENTRAL PKWY STE 201, JACKSONVILLE, FL, 322242693, US | |||||||||||||||||
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| Phone | +1 904-537-2254 |
Authorized person
| Name | MRS. STEPHANIE RELLER |
| Role | EXECUTIVE DIRECTOR |
| Phone | 9045372254 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Bittencourt Edsel | Agent | 9889 GATE PKWY N, JACKSONVILLE, FL, 32246 |
| Name | Role | Address |
|---|---|---|
| BITTENCOURT EDSEL B | Owne | 9889 GATE PKWY N, JACKSONVILLE, FL, 32246 |
| Name | Role | Address |
|---|---|---|
| HARDIN STEPHANIE | Manager | 9889 GATE PKWY N, JACKSONVILLE, FL, 32246 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-15 | 9889 GATE PKWY N, SUITE 303, JACKSONVILLE, FL 32246 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-29 | Bittencourt, Edsel | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-18 | 9889 GATE PKWY N, SUITE 303, JACKSONVILLE, FL 32246 | No data |
| CHANGE OF MAILING ADDRESS | 2020-09-18 | 9889 GATE PKWY N, SUITE 303, JACKSONVILLE, FL 32246 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-01-11 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-30 |
| Florida Limited Liability | 2020-03-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
