| Entity Name: | COASTAL WOMEN'S WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Feb 2023 (2 years ago) |
| Document Number: | L23000106474 |
| FEI/EIN Number | 92-2840968 |
| Address: | 13782 PLANTATION ROAD, SUITE 102, FORT MYERS, FL 33912 |
| Mail Address: | 13782 PLANTATION ROAD, SUITE 102, FORT MYERS, FL 33912 |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316631823 | 2023-06-07 | 2023-06-13 | 13782 PLANTATION RD STE 102, FORT MYERS, FL, 339124462, US | 13782 PLANTATION RD STE 102, FORT MYERS, FL, 339124462, US | |||||||||||||||
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| Phone | +1 239-237-5529 |
| Fax | 2393962118 |
Authorized person
| Name | ERIN WARD |
| Role | OWNER |
| Phone | 4109676419 |
Taxonomy
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, JAMES | Agent | 4655 SALISBURY ROAD, SUITE 200, JACKSONVILLE, FL 32256 |
| Name | Role | Address |
|---|---|---|
| WARD, ERIN | Director | 13782 PLANTATION ROAD, SUITE 102, FORT MYERS, FL 33912 |
| WARD, PRICE | Director | 13782 PLANTATION ROAD, SUITE 102, FORT MYERS, FL 33912 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| Florida Limited Liability | 2023-02-28 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
