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CALIFORNIA COASTAL TECHNICAL, PC, INC.

Company Details

Entity Name: CALIFORNIA COASTAL TECHNICAL, PC, INC.
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Inactive
Date Filed: 11 Feb 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: F16000000617
FEI/EIN Number 471256055
Address: 818 W SEVENTH ST, LOS ANGELES, CA, 90017, US
Mail Address: 7000 WEST PALMETTO PARK ROAD, SUITE 205, BOCA RATON, FL, 33433, US
Place of Formation: CALIFORNIA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316353972 2014-07-03 2014-07-03 301 YAMATO RD, SUITE 1100, BOCA RATON, FL, 334314917, US 301 YAMATO RD, SUITE 1100, BOCA RATON, FL, 334314917, US

Contacts

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

Agent

Name Role
WIMBLEDON HEALTH PARTNERS LLC Agent

Chairman

Name Role Address
MCDONNALLE ANDREW J Chairman 7476 IRADELL ROAD, TRUMANSBURG, NY, 14886

President

Name Role Address
MCDONNALLE ANDREW J President 7476 IRADELL ROAD, TRUMANSBURG, NY, 14886

Events

Event Type Filed Date Value Description
REVOKED FOR ANNUAL REPORT 2017-09-22 No data No data

Documents

Name Date
Foreign Profit 2016-02-11

Date of last update: 02 Feb 2025

Sources: Florida Department of State