| Entity Name: | EMERALD COAST THERAPEUTICS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Sep 2021 (3 years ago) |
| Date of dissolution: | 07 May 2024 (9 months ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 07 May 2024 (9 months ago) |
| Document Number: | L21000418566 |
| Address: | 141 Mack Bayou Loop, SANTA ROSA BEACH, FL, 32459, US |
| Mail Address: | 330 Porters Mill Rd, Pottstown, PA, 19465, US |
| ZIP code: | 32459 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669180964 | 2022-11-07 | 2022-11-07 | 141 MACK BAYOU LOOP STE 301, SANTA ROSA BEACH, FL, 324597194, US | 141 MACK BAYOU LOOP STE 301, SANTA ROSA BEACH, FL, 324597194, US | |||||||||||||||||||
|
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| Phone | +1 850-583-1497 |
Authorized person
| Name | MR. JOSHUA D HOSTETTER |
| Role | OWNER |
| Phone | 8505831497 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1144458993 |
| State | PA |
| Name | Role | Address |
|---|---|---|
| HOSTETTER JOSHUA | Agent | 141 Mack Bayou Loop, SANTA ROSA BEACH, FL, 32459 |
| Name | Role | Address |
|---|---|---|
| HOSTETTER JOSHUA | Authorized Member | 330 PORTERS MILL RD, POTTSTOWN, PA, 19465 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2024-05-07 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS P24000049495. CONVERSION NUMBER 900000256919 |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-07 | 141 Mack Bayou Loop, Suite 301, SANTA ROSA BEACH, FL 32459 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-07 | 141 Mack Bayou Loop, Suite 301, SANTA ROSA BEACH, FL 32459 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-05 | 141 Mack Bayou Loop, Suite 301, SANTA ROSA BEACH, FL 32459 | No data |
| REINSTATEMENT | 2023-03-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-05 | HOSTETTER, JOSHUA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| REINSTATEMENT | 2023-03-05 |
| Florida Limited Liability | 2021-09-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
