Detail by Officer/Registered Agent Name

Florida Limited Liability Company

COASTAL VASCULAR AND INTERVENTIONAL, P.L.L.C.

Filing Information
L08000076105 26-3144426 08/07/2008 FL ACTIVE LC AMENDMENT 08/19/2013 NONE
Principal Address
5149 NORTH NINTH AVENUE, STE. 120
PENSACOLA, FL 32504

Changed: 02/09/2016
Mailing Address
PO BOX 11982
PENSACOLA, FL 32524

Changed: 02/08/2010
Registered Agent Name & Address LECROY, CHRISTOPHER, PRESIDENT
5149 NORTH NINTH AVENUE, STE. 120
PENSACOLA, FL 32504

Name Changed: 02/09/2016

Address Changed: 02/09/2016
Authorized Person(s) Detail Name & Address

Title MGRM

BOSARGE, CHRISTOPHER J, Dr.
5149 NORTH NINTH AVENUE
SUITE 120
PENSACOLA, FL 32504

Title MGRM

MONTGOMERY, AARON B, Dr.
5149 NORTH NINTH AVENUE
SUITE 120
PENSACOLA, FL 32504

Title MGRM

LECROY, CHRISTOPHER, Dr.
5149 NORTH NINTH AVENUE
SUITE 120
PENSACOLA, FL 32504

Title Managing Member

Kafie, Fernando E., Dr.
5149 N. 9th Ave.
Suite G21
Pensacola, FL 32504

Title Member

McDaniel, Huey, Dr.
5149 NORTH NINTH AVENUE
SUITE 120
PENSACOLA, FL 32524

Title Manager

PATEL, SHONAK, Dr.
5149 NORTH NINTH AVENUE
SUITE 120
Pensacola, FL 32504

Title MGRM

Risley, Geoffrey, Dr.
5149 NORTH NINTH AVENUE, STE. 120
PENSACOLA, FL 32504

Annual Reports
Report YearFiled Date
2018 01/15/2018
2019 01/24/2019
2020 01/17/2020