Detail by Officer/Registered Agent Name

Foreign Limited Liability Company

COASTAL INJURY CLINIC, LLC

Filing Information
M20000006404 85-1849563 07/13/2020 DE 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: 03/18/2021
Authorized Person(s) Detail Name & Address

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

Title Authorized Member

Physicians Group Services, P.A.
705 Wells Road, Suite 300
Orange Park, FL 32073

Annual Reports
Report YearFiled Date
2022 04/28/2022
2023 04/24/2023
2024 04/28/2024