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ATLANTIC COVE MEDICAL GROUP, LLC - Florida Company Profile

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Company Details

Entity Name: ATLANTIC COVE MEDICAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 Oct 2023 (2 years ago)
Document Number: L23000468576
FEI/EIN Number 93-3874817
Address: 1949 Northgate, SARASOTA, FL, 34234, US
Mail Address: 5342 CLARK ROAD, #3072, SARASOTA, FL, 34233, US
ZIP code: 34234
City: Sarasota
County: Sarasota
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
EZEUKA COLLINS M.D. Chief Executive Officer 5342 CLARK ROAD, SARASOTA, FL, 34233
EZEUKA COLLINS M.D. Agent 5342 CLARK ROAD, SARASOTA, FL, 34233

National Provider Identifier

NPI Number:
1851172019
Certification Date:
2023-11-16

Authorized Person:

Name:
DR. COLLINS EZEUKA
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9412083067

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-12-07 1949 Northgate, SARASOTA, FL 34234 -

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-01-31
Florida Limited Liability 2023-10-11

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Date of last update: 02 Jul 2025

Sources: Florida Department of State