Detail by Officer/Registered Agent Name

Florida Limited Liability Company

COASTAL INTERNAL MEDICINE SPECIALISTS, L.L.C.

Filing Information
L01000006940 59-3757787 11/27/2001 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/22/2017 NONE
Principal Address
335 CLYDE MORRIS BLVD.
SUITE 290
ORMOND BEACH, FL 32174

Changed: 01/19/2012
Mailing Address
335 CLYDE MORRIS BLVD.
SUITE 290
ORMOND BEACH, FL 32174

Changed: 01/19/2012
Registered Agent Name & Address TOWNSEND, MICHAEL
335 CLYDE MORRIS BLVD
SUITE 290
ORMOND BEACH, FL 32174

Name Changed: 01/19/2012

Address Changed: 01/19/2012
Authorized Person(s) Detail Name & Address

Title P

TOWNSEND, MICHAEL EM.D.
335 CLYDE MORRIS, SUITE 290
ORMOND BEACH, FL 32174

Title T

LASTARZA, MARK WM.D.
335 CLYDE MORRIS BLVD, SUITE 290
ORMOND BEACH, FL 32174

Annual Reports
Report YearFiled Date
2014 02/11/2014
2015 04/15/2015
2016 03/28/2016