| Entity Name: | GULF COAST FAMILY WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jan 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 Jun 2022 (3 years ago) |
| Document Number: | L21000019919 |
| FEI/EIN Number | 861299069 |
| Address: | 7855 38TH AVE N, SUITE 200, ST. PETERSBURG, FL, 33710, US |
| Mail Address: | PO box 7843, Clearwater, FL, 33758, US |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568056117 | 2021-02-24 | 2021-05-04 | PO BOX 7843, CLEARWATER, FL, 337587843, US | 7855 38TH AVE N STE 200, ST PETERSBURG, FL, 337101134, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 727-480-0387 |
Authorized person
| Name | STEPHANIE ANDERSON |
| Role | OWNER/ AUTHORIZED OFFICIAL |
| Phone | 7274800387 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANDERSON STEPHANIE P | Agent | 7855 38th Ave N Suite 200, St. Petersburg, FL, 33710 |
| Name | Role | Address |
|---|---|---|
| ANDERSON STEPHANIE | Manager | 7855 38TH AVE N, ST. PETERSBURG, FL, 33710 |
| TONKIN JESSICA | Manager | 7855 38TH AVE N, ST. PETERSBURG, FL, 33710 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-27 | 7855 38th Ave N Suite 200, St. Petersburg, FL 33710 | No data |
| LC AMENDMENT | 2022-06-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-06-24 | 7855 38TH AVE N, SUITE 200, ST. PETERSBURG, FL 33710 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-15 |
| ANNUAL REPORT | 2023-02-27 |
| LC Amendment | 2022-06-24 |
| ANNUAL REPORT | 2022-02-14 |
| Florida Limited Liability | 2021-01-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
