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STEPHEN MOSLEY PA-C LLC - Florida Company Profile

Company Details

Entity Name: STEPHEN MOSLEY PA-C LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

STEPHEN MOSLEY PA-C LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 28 Oct 2021 (4 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 26 Oct 2022 (3 years ago)
Document Number: L21000468815
FEI/EIN Number 88-3378899

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 64 PINE KNOLL LANE, SANTA ROSA BEACH, FL, 32459, US
Mail Address: 64 PINE KNOLL LANE, SANTA ROSA BEACH, FL, 32459, US
ZIP code: 32459
County: Walton
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083379366 2021-11-02 2021-11-02 64 PINE KNOLL LN, SANTA ROSA BEACH, FL, 324594588, US 64 PINE KNOLL LN, SANTA ROSA BEACH, FL, 324594588, US

Contacts

Phone +1 770-757-2190

Authorized person

Name STEPHEN MOSLEY
Role PRESIDENT
Phone 7707572190

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 363A00000X - Physician Assistant
Is Primary Yes

Key Officers & Management

Name Role Address
Stephen Mosley PA Agent 64 PINE KNOLL LANE, SANTA ROSA BEACH, FL, 32459
MOSLEY STEPHEN Manager 64 PINE KNOLL LANE, SANTA ROSA BEACH, FL, 32459

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000133587 COASTAL CARE PROVIDERS ACTIVE 2023-10-30 2028-12-31 - 64 PINE KNOLL LN, SANTA ROSA BEACH, FL, 32459

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-10-26 - -
REGISTERED AGENT NAME CHANGED 2022-10-26 Stephen Mosley PA -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -

Documents

Name Date
ANNUAL REPORT 2024-04-04
AMENDED ANNUAL REPORT 2023-10-20
ANNUAL REPORT 2023-01-31
REINSTATEMENT 2022-10-26
Florida Limited Liability 2021-10-28

Date of last update: 02 Apr 2025

Sources: Florida Department of State