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COASTAL DME, LLC - Florida Company Profile

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Company Details

Entity Name: COASTAL DME, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Jun 2025 (2 months ago)
Document Number: L25000289120
Mail Address: 7113 LAGOON DR, PANAMA CITY BEACH, FL, 32408, US
Address: 229 SOUTHWOOD DR, PANAMA CITY, FL, 32405, US
ZIP code: 32405
City: Panama City
County: Bay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LANCE JORDAN S Agent 7113 LAGOON DR, PANAMA CITY BEACH, FL, 32408
LANCE JORDAN S Manager 7113 LAGOON DR, PANAMA CITY BEACH, FL, 32408

National Provider Identifier

NPI Number:
1144730136

Authorized Person:

Name:
DANIEL DERASMO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

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Date of last update: 01 Aug 2025

Sources: Florida Department of State