| Entity Name: | WEST COAST WELLNESS AND FAMILY MEDICINE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Apr 2007 (18 years ago) |
| Document Number: | P07000045172 |
| FEI/EIN Number | 208872910 |
| Address: | 2512 N TAMIAMI TRAIL, NOKOMIS, FL, 34275 |
| Mail Address: | 2512 N TAMIAMI TRAIL, NOKOMIS, FL, 34275 |
| ZIP code: | 34275 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013109974 | 2007-08-15 | 2007-09-11 | 2512 TAMIAMI TRL N, NOKOMIS, FL, 342753476, US | 2512 TAMIAMI TRL N, NOKOMIS, FL, 342753476, US | |||||||||||||||||||
|
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| Phone | +1 941-966-2342 |
| Fax | 9419665864 |
Authorized person
| Name | DR. JESS HARRIS HAWKE |
| Role | PRESIDENT |
| Phone | 9419662342 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | OS-9654 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAWKE JESS H | Agent | 1724 SOUTH DR, SARASOTA, FL, 34239 |
| Name | Role | Address |
|---|---|---|
| HAWKE JESS H | President | 1724 SOUTH DR, SARASOTA, FL, 34239 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-08 | 1724 SOUTH DR, SARASOTA, FL 34239 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-02-25 |
| ANNUAL REPORT | 2022-03-27 |
| ANNUAL REPORT | 2021-04-04 |
| ANNUAL REPORT | 2020-03-21 |
| ANNUAL REPORT | 2019-04-26 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-04-22 |
| ANNUAL REPORT | 2016-03-13 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
