Detail by Officer/Registered Agent Name

Florida Limited Liability Company

FORGOTTEN COAST MEDICAL SERVICES, LLC

Filing Information
L19000041694 83-3664505 02/11/2019 03/01/2019 FL INACTIVE VOLUNTARY DISSOLUTION 03/09/2022 NONE
Principal Address
11523 SW MCCLELLAN FARM ROAD
CLARKSVILLE, FL 32430
Mailing Address
11523 SW MCCLELLAN FARM ROAD
CLARKSVILLE, FL 32430
Registered Agent Name & Address MOORE, MARY S
11523 SW MCCLELLAN FARM ROAD
CLARKSVILLE, FL 32430
Authorized Person(s) Detail Name & Address

Title AMBR

MOORE, MARY S
11523 SW MCCLELLAN FARM ROAD
CLARKSVILLE, FL 32430

Title Authorized Representative

Posada, Alice Ann
5602 SE 9th Street
OCALA, FL 34480

Annual Reports
Report YearFiled Date
2020 01/18/2020
2021 01/31/2021