| Entity Name: | COASTLINE FAMILY CHIROPRACTIC MELBOURNE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jan 2023 (2 years ago) |
| Document Number: | L23000021442 |
| FEI/EIN Number | 92-1874478 |
| Mail Address: | 760 Barnes Blvd, Rockledge, FL, 32955, US |
| Address: | 3980 SARNO RD, 102, MELBOURNE, FL, 32934, US |
| ZIP code: | 32934 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912692567 | 2023-04-10 | 2023-04-10 | 3980 SARNO RD, SUITE 102, MELBOURNE, FL, 32934, US | 3980 SARNO RD, SUITE 102, MELBOURNE, FL, 32934, US | |||||||||||||||||
|
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| Phone | +1 321-610-3000 |
Authorized person
| Name | DR. KEITH RYAN HURLEY |
| Role | AO |
| Phone | 3216103000 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HURLEY KEITH RDR. | Agent | 760 Barnes Blvd, Rockledge, FL, 32955 |
| Name | Role | Address |
|---|---|---|
| DR. KEITH HURLEY | Manager | 760 Barnes Blvd, Rockledge, FL, 32955 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-02 | 3980 SARNO RD, 102, MELBOURNE, FL 32934 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-02 | 760 Barnes Blvd, Rockledge, FL 32955 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| Florida Limited Liability | 2023-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
