| Entity Name: | COASTAL ONCOLOGY, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Mar 2003 (22 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L03000010907 |
| FEI/EIN Number | 562347830 |
| Address: | 325 CLYDE MORRIS BLVD, 450, ORMOND BEACH, FL, 32174 |
| Mail Address: | 325 CLYDE MORRIS BLVD, 450, ORMOND BEACH, FL, 32174 |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154304566 | 2005-11-21 | 2008-07-02 | 325 CLYDE MORRIS BLVD, STE 450, ORMOND BEACH, FL, 321748178, US | 325 CLYDE MORRIS BLVD, STE 450, ORMOND BEACH, FL, 321748178, US | |||||||||||||||||||||||||
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| Phone | +1 386-673-2442 |
| Fax | 3866734884 |
Authorized person
| Name | DR. PAUL DODD |
| Role | DOCTOR |
| Phone | 3866732442 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME78210 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 256247200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DODD PAUL M | Agent | 325 CLYDE MORRIS BLVD, ORMOND BEACH, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| DODD, III PAUL M | Manager | 325 CLYDE MORRIS BLVD, SUITE 450, ORMOND BEACH, FL, 32174 |
| DOUGHNEY KATHLEEN M | Manager | 325 CLYDE MORRIS BLVD, SUITE 450, ORMOND BEACH, FL, 32174 |
| ALEXANDER CHRISTOPHER L | Manager | 325 CLYDE MORRIS BLVD, SUITE 450, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-02-01 | 325 CLYDE MORRIS BLVD, 450, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF MAILING ADDRESS | 2004-02-01 | 325 CLYDE MORRIS BLVD, 450, ORMOND BEACH, FL 32174 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-02-01 | 325 CLYDE MORRIS BLVD, 450, ORMOND BEACH, FL 32174 | No data |
| NAME CHANGE AMENDMENT | 2003-04-29 | COASTAL ONCOLOGY, PL | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-03-21 |
| ANNUAL REPORT | 2012-04-02 |
| ANNUAL REPORT | 2011-01-20 |
| ANNUAL REPORT | 2010-02-16 |
| ANNUAL REPORT | 2009-01-22 |
| ANNUAL REPORT | 2008-07-02 |
| ANNUAL REPORT | 2007-02-02 |
| ANNUAL REPORT | 2006-05-03 |
| ANNUAL REPORT | 2005-02-03 |
| ANNUAL REPORT | 2004-02-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
