| Entity Name: | COASTAL SURGICAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Mar 2023 (2 years ago) |
| Document Number: | L23000153200 |
| FEI/EIN Number | 92-2986389 |
| Address: | 48 FORT ROYAL ISLE, FORT LAUDERDALE, FL, 33308 |
| Mail Address: | 48 FORT ROYAL ISLE, FORT LAUDERDALE, FL, 33308 |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144910423 | 2023-05-10 | 2023-05-10 | 48 FORT ROYAL IS, FT LAUDERDALE, FL, 333086014, US | 48 FORT ROYAL IS, FT LAUDERDALE, FL, 333086014, US | |||||||||||||
|
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| Phone | +1 321-626-9794 |
Authorized person
| Name | MR. BRADFORD ANGIULLI |
| Role | MANAGER |
| Phone | 3216269794 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANGIULLI BRADFORD | Agent | 48 FORT ROYAL ISLE, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| ANGIULLI BRADFORD | Manager | 48 FORT ROYAL ISLE, FORT LAUDERDALE, FL, 33308 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| Florida Limited Liability | 2023-03-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
