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COASTLINE SPINE & HEALTH CENTER VERO LLC - Florida Company Profile

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Company Details

Entity Name: COASTLINE SPINE & HEALTH CENTER VERO LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Mar 2024 (a year ago)
Document Number: L24000126004
FEI/EIN Number 99-2357251
Address: 974 14TH LANE, VERO BEACH, FL, 32960, US
Mail Address: 974 14TH LANE, VERO BEACH, FL, 32960, US
ZIP code: 32960
City: Vero Beach
County: Indian River
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HURLEY KEITH RDR. Authorized Person 2054 Bottlebrush Drive, MELBOURNE, FL, 32935
HURLEY KEITH RDR. Agent 2054 Bottlebrush Drive, MELBOURNE, FL, 32935

National Provider Identifier

NPI Number:
1396563235
Certification Date:
2024-09-27

Authorized Person:

Name:
DR. KEITH HURLEY
Role:
AO, PROVIDER OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-02-08 974 14TH LANE, VERO BEACH, FL 32960 -
CHANGE OF MAILING ADDRESS 2025-02-08 974 14TH LANE, VERO BEACH, FL 32960 -
REGISTERED AGENT ADDRESS CHANGED 2025-02-08 2054 Bottlebrush Drive, MELBOURNE, FL 32935 -

Documents

Name Date
ANNUAL REPORT 2025-02-08
Florida Limited Liability 2024-03-13

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Date of last update: 02 Aug 2025

Sources: Florida Department of State