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EAST COAST DISCSEEL, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
LAWRENCE, CAROLYN Agent 801 SE 6TH AVENUE, SUITE 102, DELRAY BEACH, FL 33483

Manager

Name Role Address
BJERKE, ERIC Manager 801 SE 6TH AVENUE, SUITE 102, DELRAY BEACH, FL 33483 UN

Events

Event Type Filed Date Value Description
LC AMENDMENT 2023-06-16 No data No data

Documents

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