| Entity Name: | COASTAL CARE LABS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Jul 2023 (2 years ago) |
| Document Number: | L23000353722 |
| FEI/EIN Number | 93-2576998 |
| Address: | 8291 DANI DR, STE 100, FORT MYERS, FL, 33966 |
| Mail Address: | 8291 DANI DR, STE 100, FORT MYERS, FL, 33966 |
| ZIP code: | 33966 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104507805 | 2023-07-26 | 2023-07-26 | 8291 DANI DR STE 100, FORT MYERS, FL, 339668021, US | 8291 DANI DR STE 100, FORT MYERS, FL, 339668021, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 904-437-1529 |
Authorized person
| Name | DR. OWUSU SAKYI AGYEKUM |
| Role | CEO |
| Phone | 9044371529 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COASTAL CARE HEALTH SYSTEM INC | Agent |
| Name | Role | Address |
|---|---|---|
| SAKYI AGYEKUM OWUSU | Director | 8291 DANI DRIVE STE 100, FORT MYERS, FL, 33966 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| Florida Limited Liability | 2023-07-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
