- Enrollment id
- O20030825000002
- Associate id
- 4688585029
- Organization name
- COASTAL MEDICAL SERVICES INC
- Associate id - owner
- 0042121485
- Type - owner
- I
- Role code - owner
- 34
- Role text - owner
- 5% OR GREATER DIRECT OWNERSHIP INTEREST
- Association date - owner
- 1995-11-28
- First name - owner
- DANIEL
- Last name - owner
- JACK
- Title - owner
- ADMINISTRATOR
- Percentage ownership
- 50
- Enrollment id
- O20030825000002
- Associate id
- 4688585029
- Organization name
- COASTAL MEDICAL SERVICES INC
- Associate id - owner
- 0042121485
- Type - owner
- I
- Role code - owner
- 42
- Role text - owner
- W-2 MANAGING EMPLOYEE
- Association date - owner
- 1995-11-28
- First name - owner
- DANIEL
- Last name - owner
- JACK
- Title - owner
- AD;
- Percentage ownership
- 50