| Entity Name: | EMERALD COAST MEDICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Jul 2001 (24 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P01000072967 |
| FEI/EIN Number | 593732975 |
| Address: | 9914 SAN DIEGO WAY, PORT RICHEY, FL, 34668 |
| Mail Address: | 9914 SAN DIEGO WAY, PORT RICHEY, FL, 34668 |
| ZIP code: | 34668 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366497646 | 2006-05-24 | 2007-10-09 | 101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL, 324356323, US | 101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL, 324356323, US | |||||||||||||||||||||
|
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| Phone | +1 850-892-6001 |
| Fax | 8508924212 |
Authorized person
| Name | PETE PINAUD |
| Role | PRINCIPAL |
| Phone | 7278499645 |
Taxonomy
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS NON PAR NUMBER |
| Number | 34131 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PINAUD PETER J | Agent | 9914 SAN DIEGO WAY, PORT RICHEY, FL, 34668 |
| Name | Role | Address |
|---|---|---|
| PINAUD PETER J | Director | 9914 SAN DIEGO WAY, PORT RICHEY, FL, 34668 |
| Name | Role | Address |
|---|---|---|
| MORK ANTHONY | President | 360 SAN MIGUEL DR #502, NEWPORT BEACH, CA, 92660 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-02-25 | 9914 SAN DIEGO WAY, PORT RICHEY, FL 34668 | No data |
| CHANGE OF MAILING ADDRESS | 2004-02-25 | 9914 SAN DIEGO WAY, PORT RICHEY, FL 34668 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-02-25 | 9914 SAN DIEGO WAY, PORT RICHEY, FL 34668 | No data |
| REGISTERED AGENT NAME CHANGED | 2002-02-19 | PINAUD, PETER J | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-26 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-04-20 |
| ANNUAL REPORT | 2008-04-20 |
| ANNUAL REPORT | 2007-02-27 |
| ANNUAL REPORT | 2006-04-17 |
| ANNUAL REPORT | 2005-03-18 |
| ANNUAL REPORT | 2004-02-25 |
| ANNUAL REPORT | 2003-05-07 |
| ANNUAL REPORT | 2002-02-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
