Detail by Officer/Registered Agent Name

Florida Limited Liability Company

COASTAL HEALTH PRIMARY CARE LLC

Filing Information
L22000440215 APPLIED FOR 10/12/2022 11/01/2022 FL ACTIVE LC AMENDMENT 12/13/2023 NONE
Principal Address
705 WELLS ROAD
Suite 300
ORANGE PARK, FL 32073

Changed: 04/24/2023
Mailing Address
705 WELLS ROAD
Suite 300
ORANGE PARK, FL 32073

Changed: 04/24/2023
Registered Agent Name & Address MH Corporate Services, Inc.
14 East Bay Street
JACKSONVILLE, FL 32202

Name Changed: 04/24/2023

Address Changed: 04/24/2023
Authorized Person(s) Detail Name & Address

Title MGR

PHYSICIANS GROUP SERVICES, PA
705 WELLS ROAD
Suite 300
ORANGE PARK, FL 32073

Title Manager

Powell, Kenneth
705 WELLS ROAD
Suite 300
ORANGE PARK, FL 32073

Title CEO

Christman, Andrew
705 WELLS ROAD
Suite 300
ORANGE PARK, FL 32073

Title COO

Taboh, Gregg
705 WELLS ROAD
Suite 300
ORANGE PARK, FL 32073

Annual Reports
Report YearFiled Date
2023 04/24/2023
2024 04/11/2024