| Entity Name: | FIRST COAST OBSTETRICS & GYNECOLOGY PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Mar 2011 (14 years ago) |
| Document Number: | P11000022108 |
| FEI/EIN Number | 275227001 |
| Address: | 7000 Old Wolf Bay Road, PALATKA, FL, 32177, US |
| Mail Address: | PO BOX 519, PALATKA, FL, 32178-6859, US |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710286067 | 2011-03-24 | 2018-09-21 | 6100 SAINT JOHNS AVE STE 6, PALATKA, FL, 321776859, US | 6100 SAINT JOHNS AVE, SUITE 6, PALATKA, FL, 32177, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 386-325-5699 |
| Fax | 3863255644 |
Authorized person
| Name | DR. LUCIEN - MAXIMIN YANOU TCHUISSE |
| Role | PRESIDENT |
| Phone | 3863255699 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| TCHUISSE LUCIEN-MAXIMINY | Agent | 1714 EAGLE WATCH DRIVE, FLEMING ISLAND, FL, 32003 |
| Name | Role | Address |
|---|---|---|
| TCHUISSE LUCIEN-MAXIMINY | President | 1714 EAGLE WATCH DRIVE, FLEMING ISLAND, FL, 32003 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-09-19 | 7000 Old Wolf Bay Road, PALATKA, FL 32177 | No data |
| CHANGE OF MAILING ADDRESS | 2012-02-15 | 7000 Old Wolf Bay Road, PALATKA, FL 32177 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-03-13 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-02-18 |
| ANNUAL REPORT | 2015-03-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
