| Entity Name: | EMERALD COAST DIRECT PRIMARY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Jul 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 22 Dec 2022 (2 years ago) |
| Document Number: | L21000335081 |
| FEI/EIN Number | 87-2043434 |
| Address: | 8764 Ortega Park Drive, NAVARRE, FL, 32566, US |
| Mail Address: | 8764 Ortega Park Drive, NAVARRE, FL, 32566, US |
| ZIP code: | 32566 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154099943 | 2021-09-06 | 2024-02-22 | 8764 ORTEGA PARK DR, NAVARRE, FL, 325664139, US | 8764 ORTEGA PARK DR, NAVARRE, FL, 325664139, US | |||||||||||||
|
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| Phone | +1 850-407-3646 |
Authorized person
| Name | CHRISTOPHER DURANT |
| Role | MEDICAL DIRECTOR |
| Phone | 8504073646 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARCUS GEORGE EIII | Agent | 6608 TIDEWATER DRIVE, NAVARRE, FL, 32566 |
| Name | Role | Address |
|---|---|---|
| MARCUS GEORGE EIII | Authorized Member | 6608 TIDEWATER DRIVE, NAVARRE, FL, 32566 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-12-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-22 | MARCUS, GEORGE E, III | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-08-17 | 8764 Ortega Park Drive, NAVARRE, FL 32566 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-10 | 8764 Ortega Park Drive, NAVARRE, FL 32566 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-04-10 |
| REINSTATEMENT | 2022-12-22 |
| Florida Limited Liability | 2021-07-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
