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COASTAL SHOULDER SURGERY & SPORTS MEDICINE, LLC - Florida Company Profile

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Company Details

Entity Name: COASTAL SHOULDER SURGERY & SPORTS MEDICINE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

COASTAL SHOULDER SURGERY & SPORTS MEDICINE, 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: 30 Jan 2023 (2 years ago)
Document Number: L23000054510
FEI/EIN Number 934219548

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

Address: 8240 118th Ave, Largo, FL, 33773, US
Mail Address: 8240 118th Ave, Largo, FL, 33773, US
ZIP code: 33773
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LEWIS ROBERT G Authorized Member 8240 118th Ave, Largo, FL, 33773
LEWIS ROBERT G Agent 8240 118th Ave, Largo, FL, 33773

National Provider Identifier

NPI Number:
1922876796
Certification Date:
2023-12-12

Authorized Person:

Name:
ROBERT LEWIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
934219548
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-02-05 8240 118th Ave, Ste 350, Largo, FL 33773 -
REGISTERED AGENT ADDRESS CHANGED 2024-02-05 8240 118th Ave, Ste 350, Largo, FL 33773 -
CHANGE OF PRINCIPAL ADDRESS 2023-11-20 8240 118th Ave, Ste 350, Largo, FL 33773 -

Documents

Name Date
ANNUAL REPORT 2025-02-10
ANNUAL REPORT 2024-02-05
Florida Limited Liability 2023-01-30

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Date of last update: 01 Jun 2025

Sources: Florida Department of State