| Entity Name: | COASTAL PT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Sep 2021 (3 years ago) |
| Document Number: | L21000420037 |
| FEI/EIN Number | 87-2389674 |
| Address: | 6021 Sterling River Way, Niceville, FL 32578 |
| Mail Address: | 6021 STERLING RIVER WAY, NICEVILLE, FL 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679236806 | 2021-10-14 | 2021-10-14 | 6021 STERLING RIVER WAY, NICEVILLE, FL, 325781534, US | 424 COLLEGE BLVD, VALPARAISO, FL, 325801774, US | |||||||||||||||
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| Phone | +1 850-378-2600 |
| Fax | 8338696437 |
Authorized person
| Name | TRACI DUNCAN GREEN |
| Role | OWNER/PT |
| Phone | 8503782600 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GREEN, TRACI D | Agent | 6021 STERLING RIVER WAY, NICEVILLE, FL 32578 |
| Name | Role | Address |
|---|---|---|
| GREEN, TRACI D | Authorized Person | 6021 STERLING RIVER WAY, NICEVILLE, FL 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-07 | 6021 Sterling River Way, Niceville, FL 32578 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-31 |
| Florida Limited Liability | 2021-09-23 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
