| Entity Name: | COASTAL COMFORT NEMT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Mar 2024 (10 months ago) |
| Document Number: | L24000152324 |
| FEI/EIN Number | 99-2325566 |
| Address: | 304 SWEETBRIER BRANCH LN, ST JOHNS, FL 32259 |
| Mail Address: | 304 SWEETBRIER BRANCH LN, ST JOHNS, FL 32259 |
| ZIP code: | 32259 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427899673 | 2024-06-03 | 2024-06-03 | 304 SWEETBRIER BRANCH LN, ST JOHNS, FL, 32259, US | 6401 WILSON BLVD., JACKSONVILLE, FL, 32210, US | |||||||||||||
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| Phone | +1 904-616-3460 |
Authorized person
| Name | NANCY B SALLOUM |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 9046163460 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SALLOUM, ZAHER | Agent | 304 SWEETBRIER BRANCH LN, ST JOHNS, FL 32259 |
| Name | Role | Address |
|---|---|---|
| SALLOUM, ZAHER | Authorized Member | 304 SWEETBRIER BRANCH LN, ST JOHNS, FL 32259 |
| SALOUM, SAMER | Authorized Member | 10411 SCOTT MILL RD, JACKSONVILLE, FL 32257 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-29 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
