| Entity Name: | ALLIANCE COASTAL HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Sep 2023 (a year ago) |
| Document Number: | L23000411500 |
| FEI/EIN Number | 93-3209403 |
| Address: | 115 MARGARET STREET, SUITE D-2, BRANDON, FL 33511 |
| Mail Address: | 2105 ROANOKE SPRINGS DRIVE, RUSKIN, FL 33570 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134905706 | 2023-09-07 | 2024-08-09 | 2105 ROANOKE SPRINGS DR, RUSKIN, FL, 335706312, US | 115 MARGARET ST STE D-2, BRANDON, FL, 335115257, US | |||||||||||||||||||
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| Phone | +1 813-585-7708 |
| Phone | +1 813-708-7911 |
Authorized person
| Name | DESHAE MARTIN |
| Role | ADMINISTRATIVE DIRECTOR |
| Phone | 8135857708 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTIN, DESHAE | Agent | 2105 ROANOKE SPRINGS DRIVE, RUSKIN, FL 33570 |
| Name | Role | Address |
|---|---|---|
| MARTIN, DESHAE | Manager | 2105 ROANOKE SPRINGS DRIVE, RUSKIN, FL 33570 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-08-09 |
| Florida Limited Liability | 2023-09-01 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
