Detail by Officer/Registered Agent Name

Florida Limited Liability Company

NATURE COAST ACO, LLC

Filing Information
L12000078318 45-5483087 06/12/2012 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/22/2017 NONE
Principal Address
3404 NORTH LECANTO HIGHWAY
SUITE C
BEVERLY HILLS, FL 34465
Mailing Address
3404 NORTH LECANTO HIGHWAY
SUITE C
BEVERLY HILLS, FL 34465
Registered Agent Name & Address KUMAR, MARIANANDA, M.D.
3400 N. LECANTO HIGHWAY
SUITE A
BEVERLY HILLS, FL 34465

Name Changed: 11/14/2016

Address Changed: 11/14/2016
Authorized Person(s) Detail Name & Address

Title MGRM

PATEL, BHADRESH KMD
3404 N LECANTO HGWY SUITE C
BEVERLY HILLS, FL 34465

Title MGRM

KUMAR, MARIANANDA, DR.
3404 NORTH LECANTO HIGHWAY
SUITE C
BEVERLY HILLS, FL 34465

Title MGRM

PATEL, SHIRISH, DR.
3404 NORTH LECANTO HIGHWAY
SUITE C
BEVERLY HILLS, FL 34465

Title MGRM

LI, CHARLES, Dr.
3404 NORTH LECANTO HIGHWAY
SUITE C
BEVERLY HILLS, FL 34465

Title MGRM

VILLACASTIN, ALEX, DR.
3404 NORTH LECANTO HIGHWAY
SUITE C
BEVERLY HILLS, FL 34465

Title MGRM

DEVEN, ULHAS, DR.
3404 NORTH LECANTO HIGHWAY
SUITE C
BEVERLY HILLS, FL 34465

Title MGRM

BELLAM, RAJENDRA, DR.
3404 NORTH LECANTO HIGHWAY
SUITE C
BEVERLY HILLS, FL 34465

Title MGRM

REDDY, VENUGOPALA, Dr.
3404 NORTH LECANTO HIGHWAY
SUITE C
BEVERLY HILLS, FL 34465

Title MGRM

ALUGUBELLI, VENKATREDDY, Dr.
3404 NORTH LECANTO HIGHWAY
SUITE C
BEVERLY HILLS, FL 34465

Title MGRM

KHAN, HASIBUL, DR.
3404 NORTH LECANTO HIGHWAY
SUITE C
BEVERLY HILLS, FL 34465

Title Manager member

Navarro, Catherine
3404 NORTH LECANTO HIGHWAY
SUITE C
BEVERLY HILLS, FL 34465

Annual Reports
Report YearFiled Date
2014 04/24/2014
2015 04/22/2015
2016 04/28/2016