| Entity Name: | COASTAL PEDIATRICS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Sep 2004 (20 years ago) |
| Document Number: | L04000065106 |
| FEI/EIN Number | 201608348 |
| Address: | 1275 WEST GRANADA BOULEVARD, SUITE 3A, ORMOND BEACH, FL, 32174 |
| Mail Address: | 1275 WEST GRANADA BOULEVARD, SUITE 3A, ORMOND BEACH, FL, 32174 |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780888321 | 2007-06-14 | 2020-08-22 | 1275 W GRANADA BLVD, SUITE 3A, ORMOND BEACH, FL, 321748259, US | 1275 W GRANADA BLVD, SUITE 3A, ORMOND BEACH, FL, 321748259, US | |||||||||||||||
|
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| Phone | +1 386-672-1490 |
| Fax | 3866721628 |
Authorized person
| Name | DR. JEAN CLAUDE JEANTY |
| Role | OWNER |
| Phone | 3866721490 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| AM&E SERVICES LLC | Agent |
| Name | Role | Address |
|---|---|---|
| JEANTY JEAN-CLAUDE M | Owner | 1179 CHAMPIONS DR, DAYTONA BEACH, FL, 32124 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-04 | 1275 WEST GRANADA BOULEVARD, SUITE 3A, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF MAILING ADDRESS | 2009-02-04 | 1275 WEST GRANADA BOULEVARD, SUITE 3A, ORMOND BEACH, FL 32174 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-03-20 |
| ANNUAL REPORT | 2020-04-03 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-09-13 |
| ANNUAL REPORT | 2016-02-24 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
