| Entity Name: | COASTAL PREMIER MEDICAL CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 May 2021 (4 years ago) |
| Document Number: | L21000220330 |
| FEI/EIN Number | 86-3632661 |
| Address: | 1762 HUMMINGBIRD CT, MARCO ISLAND, FL, 34145 |
| Mail Address: | 1762 HUMMINGBIRD CT, MARCO ISLAND, FL, 34145 |
| ZIP code: | 34145 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356924740 | 2021-05-03 | 2021-05-20 | 1762 HUMMINGBIRD CT, MARCO ISLAND, FL, 341454108, US | 15450 TAMIAMI TRL N, NAPLES, FL, 341106217, US | |||||||||||||||
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| Phone | +1 614-738-2161 |
| Phone | +1 239-778-0723 |
Authorized person
| Name | LAURA L JONES |
| Role | FAMILY NURSE PRACTITIONER |
| Phone | 6147382161 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JONES LAURA | Agent | 340 TAMIAMI TRAIL N, NAPLES, FL, 34102 |
| Name | Role | Address |
|---|---|---|
| JONES LAURA L | Manager | 1762 HUMMINGBIRD CT, MARCO ISLAND, FL, 34145 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-02-02 |
| Florida Limited Liability | 2021-05-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
