| Entity Name: | COASTAL CONCIERGE PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 May 2020 (5 years ago) |
| Document Number: | L20000130201 |
| FEI/EIN Number | 85-1137625 |
| Address: | 4213 MARBLEWOOD LANE, JACKSONVILLE, FL 32216 |
| Mail Address: | 4213 MARBLEWOOD LANE, JACKSONVILLE, FL 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609483361 | 2020-09-28 | 2020-09-28 | 4213 MARBLEWOOD LN, JACKSONVILLE, FL, 322163614, US | 4213 MARBLEWOOD LN, JACKSONVILLE, FL, 322163614, US | |||||||||||||
|
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| Phone | +1 330-704-8907 |
Authorized person
| Name | DANA BROWN |
| Role | SOLE MBR |
| Phone | 3307048907 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROWN, DANA | Agent | 4213 MARBLEWOOD LANE, JACKSONVILLE, FL 32216 |
| Name | Role | Address |
|---|---|---|
| BROWN, DANA | Managing Member | 4213 MARBLEWOOD LANE, JACKSONVILLE, FL 32216 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-28 |
| Florida Limited Liability | 2020-05-13 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
