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COASTAL ORTHOPEDIC CENTER, INC.

Company Details

Entity Name: COASTAL ORTHOPEDIC CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 17 Sep 1982 (42 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 07 Jul 2008 (17 years ago)
Document Number: G00495
FEI/EIN Number 59-2222808
Address: 510 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953
Mail Address: 510 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953
ZIP code: 34953
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407098130 2009-03-26 2009-03-26 510 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 349531943, US 3954 US HIGHWAY 27 S, SEBRING, FL, 338705511, US

Contacts

Phone +1 772-871-9200
Fax 7723364040

Authorized person

Name JOSEPH PERRETTA
Role OWNER
Phone 7728719200

Taxonomy

Taxonomy Code 335E00000X - Prosthetic/Orthotic Supplier
License Number PRO 84
State FL
Is Primary Yes

Agent

Name Role Address
PERRETTA, JOSEPH Agent 510 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953

C.P.

Name Role Address
PERRETTA, JOSEPH C.P. 510 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000084257 COASTAL ORTHOPEDIC CENTER, INC ACTIVE 2023-07-18 2028-12-31 No data 510 SW PORT SAINT LUCIE BLVD, PORT SAINT LUCIE, FL, 34953
G17000074496 COASTAL LIMBS AND BRACE EXPIRED 2017-07-11 2022-12-31 No data 510 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL, 34953
G17000078250 COASTAL LIMBS AND BRACE EXPIRED 2017-07-11 2022-12-31 No data 510 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL, 34953

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-01-12 510 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953 No data
CHANGE OF MAILING ADDRESS 2009-01-12 510 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953 No data
NAME CHANGE AMENDMENT 2008-07-07 COASTAL ORTHOPEDIC CENTER, INC. No data
REGISTERED AGENT ADDRESS CHANGED 2003-01-27 510 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953 No data

Documents

Name Date
ANNUAL REPORT 2024-01-24
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-01-31
ANNUAL REPORT 2018-01-10
ANNUAL REPORT 2017-01-18
ANNUAL REPORT 2016-01-22
ANNUAL REPORT 2015-01-11

Date of last update: 05 Feb 2025

Sources: Florida Department of State