| Entity Name: | COASTAL INTERVENTIONAL PAIN MANAGEMENT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
COASTAL INTERVENTIONAL PAIN MANAGEMENT, 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. |
| 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: | 05 Aug 2009 (16 years ago) |
| Date of dissolution: | 28 Sep 2012 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (13 years ago) |
| Document Number: | L09000075260 |
| FEI/EIN Number |
270684976
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | ST. ANTHONY HOSPITAL, MEDICAL OFFICE BLDG, #320, 1099 5TH AVE N, ST. PETERSBURG, FL, 33705 |
| Mail Address: | ST. ANTHONY HOSPITAL, MEDICAL OFFICE BLDG, #320, 1099 5TH AVE N, ST. PETERSBURG, FL, 33705 |
| ZIP code: | 33705 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962738567 | 2009-11-02 | 2011-03-03 | 1099 5TH AVE N, STE 320, ST PETERSBURG, FL, 337051469, US | 1099 5TH AVE N, STE 320, ST PETERSBURG, FL, 337051469, US | |||||||||||||||||||||
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| Phone | +1 727-822-7000 |
| Fax | 7278227001 |
Authorized person
| Name | JENNIFER M BURNS |
| Role | OWNER |
| Phone | 7278227000 |
Taxonomy
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BS FLORIDA |
| Number | 34087 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BURNS JENNIFER | Managing Member | 1099 5TH AVENUE N #320, ST PETERSBURG, FL, 33705 |
| BURNS JENNIFER | Agent | ST ANTHONY HOSPITAL, ST. PETERSBURG, FL, 33705 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| CHANGE OF MAILING ADDRESS | 2010-05-04 | ST. ANTHONY HOSPITAL, MEDICAL OFFICE BLDG, #320, 1099 5TH AVE N, ST. PETERSBURG, FL 33705 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-12 |
| ANNUAL REPORT | 2010-05-04 |
| Florida Limited Liability | 2009-08-05 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
