| Entity Name: | CALIFORNIA COASTAL MEDICAL PC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit Corporation |
| Status: | Inactive |
| Date Filed: | 19 Jan 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | F16000000300 |
| FEI/EIN Number | 47-1272710 |
| Address: | 818 W SEVENTH ST, LOS ANGELES, CA 90017 |
| Mail Address: | 7000 WEST PALMETTO PARK ROAD, SUITE 205, BOCA RATON, FL 33433 |
| Place of Formation: | CALIFORNIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831505155 | 2014-07-08 | 2014-07-08 | 301 YAMATO RD, SUITE 1100, BOCA RATON, FL, 334314917, US | 301 YAMATO RD, SUITE 1100, BOCA RATON, FL, 334314917, US | |||||||||||||||||||
|
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| Phone | +1 855-200-8262 |
| Fax | 8554008262 |
Authorized person
| Name | DR. ANDREW JOSEPH MCDONNELL |
| Role | PRESIDENT |
| Phone | 8552008262 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | G86429 |
| State | CA |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WIMBLEDON HEALTH PARTNERS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| MCDONNELL, ANDREW | Chairman | 7476 IRADELL ROAD, TRUMANSBURG, NY 14886 |
| Name | Role | Address |
|---|---|---|
| MCDONNELL, ANDREW | President | 7476 IRADELL ROAD, TRUMANSBURG, NY 14886 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| Foreign Profit | 2016-01-19 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
