| Entity Name: | COASTAL MEDICAL ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
COASTAL MEDICAL ASSOCIATES, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 14 Jun 1989 (36 years ago) |
| Date of dissolution: | 23 Sep 2016 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (9 years ago) |
| Document Number: | K95378 |
| FEI/EIN Number |
592952811
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4530 S RIDGEWOOD AVE, PORT ORANGE, FL, 32127, US |
| Mail Address: | 1055 N Dixie Freeway, Suite 1, New Smyrna Beach, FL, 32168, US |
| ZIP code: | 32127 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902893795 | 2005-10-05 | 2009-07-24 | 4530 S RIDGEWOOD AVE, PORT ORANGE, FL, 321274523, US | 4530 S RIDGEWOOD AVE, PORT ORANGE, FL, 321274523, US | |||||||||||||||||||||||||
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| Phone | +1 386-788-1881 |
| Fax | 3867888556 |
Authorized person
| Name | MRS. BETSY JOAN LEVIN |
| Role | PRESIDENT |
| Phone | 3867881881 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 374426400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Ailani Rajesh K | Owne | 1055 N Dixie Freeway, New Smyrna Beach, FL, 32168 |
| Ailani Rajesh K | Agent | 1055 N Dixie Freeway, New Smyrna Beach, FL, 32168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| CHANGE OF MAILING ADDRESS | 2015-02-16 | 4530 S RIDGEWOOD AVE, PORT ORANGE, FL 32127 | - |
| REGISTERED AGENT NAME CHANGED | 2015-02-16 | Ailani, Rajesh K | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-16 | 1055 N Dixie Freeway, Suite 1, New Smyrna Beach, FL 32168 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-01 | 4530 S RIDGEWOOD AVE, PORT ORANGE, FL 32127 | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2015-02-16 |
| ANNUAL REPORT | 2015-01-19 |
| ANNUAL REPORT | 2014-01-08 |
| ANNUAL REPORT | 2013-01-25 |
| ANNUAL REPORT | 2012-01-26 |
| ANNUAL REPORT | 2011-01-04 |
| ANNUAL REPORT | 2010-03-01 |
| ANNUAL REPORT | 2009-06-22 |
| ANNUAL REPORT | 2008-03-12 |
| ANNUAL REPORT | 2007-02-28 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
