| Entity Name: | GULF COAST MOBILE MEDICAL CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Jul 2020 (5 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 15 Apr 2021 (4 years ago) |
| Document Number: | L20000225804 |
| FEI/EIN Number | 85-2372994 |
| Address: | 471 FORT PICKENS RD, PENSACOLA BEACH, FL, 32561, US |
| Mail Address: | 471 FORT PICKENS RD, PENSACOLA BEACH, FL, 32561, US |
| ZIP code: | 32561 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689330854 | 2021-11-12 | 2023-02-23 | 471 FORT PICKENS RD, GULF BREEZE, FL, 325612013, US | 471 FORT PICKENS RD, PENSACOLA BEACH, FL, 325612013, US | |||||||||||||||
|
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| Phone | +1 850-462-3131 |
| Fax | 8773704373 |
Authorized person
| Name | JAKE WALLSTEDT |
| Role | PARTNER |
| Phone | 6155176009 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GARBELL SCOTT AMGR | Agent | 471 FORT PICKENS RD, PENSACOLA BEACH, FL, 32561 |
| Name | Role | Address |
|---|---|---|
| GARBELL SCOTT A | Manager | 471 FT PICKENS RD, PENSACOLA BEACH, FL, 32561 |
| PATRONI CLYDE JJR. | Manager | 3 SABINE DR., PENSACOLA BEACH, FL, 32561 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-04-06 | GARBELL, SCOTT A, MGR | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-06 | 471 FORT PICKENS RD, PENSACOLA BEACH, FL 32561 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-05-11 | 471 FORT PICKENS RD, PENSACOLA BEACH, FL 32561 | No data |
| CHANGE OF MAILING ADDRESS | 2021-05-11 | 471 FORT PICKENS RD, PENSACOLA BEACH, FL 32561 | No data |
| LC AMENDMENT AND NAME CHANGE | 2021-04-15 | GULF COAST MOBILE MEDICAL CARE LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-16 |
| ANNUAL REPORT | 2022-04-06 |
| LC Amendment and Name Change | 2021-04-15 |
| ANNUAL REPORT | 2021-03-13 |
| Florida Limited Liability | 2020-07-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
