| Entity Name: | COASTLINE SURGICAL GROUP, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Feb 2022 (3 years ago) |
| Document Number: | L22000065147 |
| FEI/EIN Number | 88-0898308 |
| Address: | 900 Pine Street Suite 111B, englewood, FL, 34223, US |
| Mail Address: | 900 Pine Street Suite 111B, englewood, FL, 34223, US |
| ZIP code: | 34223 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629708821 | 2022-06-13 | 2022-06-17 | 411 COMMERCIAL CT BLDG 4, VENICE, FL, 342921650, US | 411 COMMERCIAL CT BLDG 4, VENICE, FL, 342921650, US | |||||||||||||
|
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| Phone | +1 941-786-0790 |
Authorized person
| Name | SHEA G JONES |
| Role | MANAGER |
| Phone | 9417860790 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FLP RA SERVICES LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Jones Shea G | Manager | 900 Pine Street Suite 111B, englewood, FL, 34223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-19 | 900 Pine Street Suite 111B, englewood, FL 34223 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-19 | 900 Pine Street Suite 111B, englewood, FL 34223 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-12 |
| ANNUAL REPORT | 2023-01-25 |
| Florida Limited Liability | 2022-02-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
