Entity Name: | EAST COAST DISCSEEL, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 31 May 2023 (2 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 16 Jun 2023 (2 years ago) |
Document Number: | L23000264519 |
FEI/EIN Number | 93-1721756 |
Address: | 801 SE 6TH AVENUE, SUITE 102, DELRAY BEACH, FL 33483 UN |
Mail Address: | 801 SE 6TH AVENUE, SUITE 102, DELRAY BEACH, FL 33483 UN |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1245058999 | 2024-10-01 | 2024-10-01 | 801 SE 6TH AVE STE 101, DELRAY BEACH, FL, 334835185, US | 801 SE 6TH AVE STE 101, DELRAY BEACH, FL, 334835185, US | |||||||||||||||||||||||
|
Phone | +1 561-599-1883 |
Fax | 5618087387 |
Authorized person
Name | ERIC BJERKE |
Role | MANAGING MEMBER |
Phone | 3863070740 |
Taxonomy
Taxonomy Code | 174400000X - Specialist |
Is Primary | No |
Taxonomy Code | 207L00000X - Anesthesiology Physician |
Is Primary | No |
Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
LAWRENCE, CAROLYN | Agent | 801 SE 6TH AVENUE, SUITE 102, DELRAY BEACH, FL 33483 |
Name | Role | Address |
---|---|---|
BJERKE, ERIC | Manager | 801 SE 6TH AVENUE, SUITE 102, DELRAY BEACH, FL 33483 UN |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC AMENDMENT | 2023-06-16 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-01 |
LC Amendment | 2023-06-16 |
Florida Limited Liability | 2023-05-31 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State