Detail by Officer/Registered Agent Name

Florida Limited Liability Company

FIRST COAST HEALTH ALLIANCE, LLC

Filing Information
L13000064036 46-2773479 05/01/2013 05/01/2013 FL ACTIVE LC STMNT OF RA/RO CHG 08/24/2023 NONE
Principal Address
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086
Mailing Address
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086
Registered Agent Name & Address Scott, Carolyn
100 Whetstone Place
Suite 203
St. Augustine, FL 32086

Name Changed: 04/12/2024

Address Changed: 04/12/2024
Authorized Person(s) Detail Name & Address

Title President

George, Ferris, Dr.
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086

Title Manager

DeVooght, Carlton
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086

Title Manager

Muehrcke, Derek D., Dr.
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086

Title Manager

Kudia, Ashfaq L., Dr.
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086

Title Manager

Mas, Miguel A., Dr.
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086

Title Senior Medical Director

Neerukonda, Suha P
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086

Title Manager

Pubbi, Dinesh, Dr.
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086

Title VP

West, Jeff
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086

Title Manager

Volenti, Ann Marie
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086

Title Manager

Batenhorst, Todd
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086

Title Treasurer

Thornton, Robert William
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086

Title Manager

Kiekover, Brian, Dr.
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086

Annual Reports
Report YearFiled Date
2022 04/26/2022
2023 03/10/2023
2024 04/12/2024