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
ST. AUGUSTINE, FL 32086
Mailing Address
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086
ST. AUGUSTINE, FL 32086
Registered Agent Name & Address
Scott, Carolyn
Name Changed: 04/12/2024
Address Changed: 04/12/2024
100 Whetstone Place
Suite 203
St. Augustine, FL 32086
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.
Title Manager
DeVooght, Carlton
Title Manager
Muehrcke, Derek D., Dr.
Title Manager
Kudia, Ashfaq L., Dr.
Title Manager
Mas, Miguel A., Dr.
Title Senior Medical Director
Neerukonda, Suha P
Title Manager
Pubbi, Dinesh, Dr.
Title VP
West, Jeff
Title Manager
Volenti, Ann Marie
Title Manager
Batenhorst, Todd
Title Treasurer
Thornton, Robert William
Title Manager
Kiekover, Brian, Dr.
Title President
George, Ferris, Dr.
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086
ST. AUGUSTINE, FL 32086
Title Manager
DeVooght, Carlton
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086
ST. AUGUSTINE, FL 32086
Title Manager
Muehrcke, Derek D., Dr.
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086
ST. AUGUSTINE, FL 32086
Title Manager
Kudia, Ashfaq L., Dr.
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086
ST. AUGUSTINE, FL 32086
Title Manager
Mas, Miguel A., Dr.
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086
ST. AUGUSTINE, FL 32086
Title Senior Medical Director
Neerukonda, Suha P
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086
ST. AUGUSTINE, FL 32086
Title Manager
Pubbi, Dinesh, Dr.
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086
ST. AUGUSTINE, FL 32086
Title VP
West, Jeff
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086
ST. AUGUSTINE, FL 32086
Title Manager
Volenti, Ann Marie
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086
ST. AUGUSTINE, FL 32086
Title Manager
Batenhorst, Todd
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086
ST. AUGUSTINE, FL 32086
Title Treasurer
Thornton, Robert William
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086
ST. AUGUSTINE, FL 32086
Title Manager
Kiekover, Brian, Dr.
400 HEALTH PARK BLVD.
ST. AUGUSTINE, FL 32086
ST. AUGUSTINE, FL 32086
Annual Reports
Report Year | Filed Date |
2022 | 04/26/2022 |
2023 | 03/10/2023 |
2024 | 04/12/2024 |
Document Images