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COASTAL TIDES SURGICAL CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: COASTAL TIDES SURGICAL CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Apr 2024 (a year ago)
Document Number: L24000157694
FEI/EIN Number 992715744
Address: 1002 N Arnold Road, Suite 401, Panama City Beach, FL, 32413, US
Mail Address: 1002 N Arnold Road, Suite 401, Panama City Beach, FL, 32413, US
ZIP code: 32413
City: Panama City Beach
County: Bay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Manager -
Hartsfield Steven Agent 1002 N Arnold Road, Panama City Beach, FL, 32413

National Provider Identifier

NPI Number:
1609616291
Certification Date:
2024-05-13

Authorized Person:

Name:
DANIEL DAVID STANNARD
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-06-04 1002 N Arnold Road, Suite 401, Panama City Beach, FL 32413 -
CHANGE OF MAILING ADDRESS 2024-06-04 1002 N Arnold Road, Suite 401, Panama City Beach, FL 32413 -

Documents

Name Date
Florida Limited Liability 2024-04-02

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Date of last update: 02 Aug 2025

Sources: Florida Department of State