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COASTAL MEDICAL ASSOCIATES, INC. - Florida Company Profile

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Company Details

Entity Name: COASTAL MEDICAL ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
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
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
City: Port Orange
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

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

National Provider Identifier

NPI Number:
1902893795

Authorized Person:

Name:
MRS. BETSY JOAN LEVIN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3867888556

Events

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 -

Documents

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

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Date of last update: 03 Aug 2025

Sources: Florida Department of State