| Entity Name: | COASTAL CALM PSYCHIATRIC SOLUTIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Aug 2024 (6 months ago) |
| Document Number: | L24000342804 |
| Address: | 7475 NIGHTINGALE RD., BROOKSVILLE, FL, 34613, US |
| Mail Address: | 7475 NIGHTINGALE RD., BROOKSVILLE, FL, 34613, US |
| ZIP code: | 34613 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215759162 | 2024-10-30 | 2024-10-30 | 7475 NIGHTINGALE RD, WEEKI WACHEE, FL, 346133301, US | 7475 NIGHTINGALE RD, WEEKI WACHEE, FL, 346133301, US | |||||||||||||||
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| Phone | +1 352-600-2256 |
| Fax | 3522041967 |
Authorized person
| Name | SHAWN KERNZ |
| Role | PMHNP-BC/ OWNER |
| Phone | 3526002256 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| KERNZ SHAWN | Authorized Member | 7475 NIGHTINGALE RD., BROOKSVILLE, FL, 34613 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
