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COASTAL PEDIATRICS LLC - Florida Company Profile

Company Details

Entity Name: COASTAL PEDIATRICS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

COASTAL PEDIATRICS LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 01 Sep 2004 (21 years ago)
Document Number: L04000065106
FEI/EIN Number 201608348

Federal Employer Identification (FEI) Number assigned by the IRS.

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

National Provider Identifier

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

Contacts

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

Key Officers & Management

Name Role Address
JEANTY JEAN-CLAUDE M Owner 1179 CHAMPIONS DR, DAYTONA BEACH, FL, 32124
AM&E SERVICES LLC Agent -

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-02-04 1275 WEST GRANADA BOULEVARD, SUITE 3A, ORMOND BEACH, FL 32174 -
CHANGE OF MAILING ADDRESS 2009-02-04 1275 WEST GRANADA BOULEVARD, SUITE 3A, ORMOND BEACH, FL 32174 -

Documents

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2531998308 2021-01-21 0491 PPS 1275 W Granada Blvd Ste 3A, Ormond Beach, FL, 32174-8105
Loan Status Date 2021-09-24
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 56000
Loan Approval Amount (current) 56000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Ormond Beach, VOLUSIA, FL, 32174-8105
Project Congressional District FL-06
Number of Employees 4
NAICS code 621111
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 56312.99
Forgiveness Paid Date 2021-08-18
6415747700 2020-05-01 0491 PPP 1275 W GRANADA BLVD STE 3A, ORMOND BEACH, FL, 32174-8105
Loan Status Date 2021-04-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 51380
Loan Approval Amount (current) 51380
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address ORMOND BEACH, VOLUSIA, FL, 32174-8105
Project Congressional District FL-06
Number of Employees 4
NAICS code 621111
Borrower Race Black or African American
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 51800.89
Forgiveness Paid Date 2021-02-25

Date of last update: 02 May 2025

Sources: Florida Department of State