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FLORIDA COAST MEDICAL AND SURGICAL CENTER, INC. - Florida Company Profile

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Company Details

Entity Name: FLORIDA COAST MEDICAL AND SURGICAL CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Apr 2022 (3 years ago)
Document Number: P22000036097
FEI/EIN Number 88-2346023
Mail Address: 14201 DALLAS PKWY, DALLAS, TX, 75254
Address: 310 SE Veranda Falls Way, Port St. Lucie, FL, 34984, US
ZIP code: 34984
City: Port Saint Lucie
County: St. Lucie
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
SHERRILL JOHN T President 14201 DALLAS PKWY, DALLAS, TX, 75254
MACK KRISTINA A Secretary 14201 DALLAS PKWY, DALLAS, TX, 75254
SMITH SHARILEE Director 14201 DALLAS PKWY, DALLAS, TX, 75254
TAYLOR KRISTIN A Asst 14201 DALLAS PKWY, DALLAS, TX, 75254
BURKETT JOSHUA Treasurer 14201 DALLAS PKWY, DALLAS, TX, 75254

National Provider Identifier

NPI Number:
1003618406
Certification Date:
2025-03-26

Authorized Person:

Name:
MR. LUCAS IWANSKI
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
282N00000X - General Acute Care Hospital
Is Primary:
Yes

Contacts:

Fax:
7726075256

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000081135 PALM BEACH HEALTH NETWORK ACTIVE 2025-06-26 2030-12-31 - 14201 DALLAS PKWY, DALLAS, TX, 75254
G24000094088 FLORIDA COAST MEDICAL CENTER - AN AFFILIATE OF PALM BEACH HEALTH NETWORK ACTIVE 2024-08-07 2029-12-31 - 14201 DALLAS PKWY, DALLAS, TX, 75254
G24000094095 FLORIDA COAST MEDICAL CENTER ACTIVE 2024-08-07 2029-12-31 - 14201 DALLAS PKWY, DALLAS, TX, 75254
G22000139715 FLORIDA COAST SURGICAL HOSPITAL ACTIVE 2022-11-09 2027-12-31 - 14201 DALLAS PKWY, DALLAS, TX, 75254
G22000063172 FLORIDA COAST HEALTH NETWORK ACTIVE 2022-05-20 2027-12-31 - 14201 DALLAS PKWY, DALLAS, TX, 75254

Documents

Name Date
AMENDED ANNUAL REPORT 2024-12-13
AMENDED ANNUAL REPORT 2024-12-12
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-03-29
Domestic Profit 2022-04-27

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Date of last update: 02 Jul 2025

Sources: Florida Department of State