| Entity Name: | ATLANTIC COVE MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Oct 2023 (a year ago) |
| Document Number: | L23000468576 |
| FEI/EIN Number | 93-3874817 |
| Address: | 1949 Northgate, SARASOTA, FL 34234 |
| Mail Address: | 5342 CLARK ROAD, #3072, SARASOTA, FL 34233 |
| ZIP code: | 34234 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851172019 | 2023-10-12 | 2023-11-16 | 5342 CLARK RD # 3072, SARASOTA, FL, 342333227, US | 1949 NORTHGATE BLVD, SARASOTA, FL, 342342143, US | |||||||||||||||
|
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| Phone | +1 941-208-3070 |
| Fax | 9412083067 |
Authorized person
| Name | DR. COLLINS EZEUKA |
| Role | CEO |
| Phone | 9412083070 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EZEUKA, COLLINS, M.D. | Agent | 5342 CLARK ROAD, #3072, SARASOTA, FL 34233 |
| Name | Role | Address |
|---|---|---|
| EZEUKA, COLLINS, M.D. | Chief Executive Officer | 5342 CLARK ROAD, #3072 SARASOTA, FL 34233 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-12-07 | 1949 Northgate, SARASOTA, FL 34234 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| Florida Limited Liability | 2023-10-11 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
