| Entity Name: | COASTAL PAIN PHYSICIANS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Feb 2010 (15 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | L10000020042 |
| FEI/EIN Number | 271957763 |
| Address: | 12250 E. TAMIAMI TRAIL, 201, NAPLES, FL, 34113 |
| Mail Address: | 1533 S. LODGE DRIVE, SARASOTA, FL, 34239 |
| ZIP code: | 34113 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063726511 | 2010-07-27 | 2010-07-27 | 3325 S TAMIAMI TRL, SARASOTA, FL, 342395114, US | 3325 S TAMIAMI TRL, SARASOTA, FL, 342395114, US | |||||||||||||||||||||||
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| Phone | +1 239-262-7246 |
Authorized person
| Name | DR. PAUL E BEEBE |
| Role | MANAGING MEMBER |
| Phone | 9412288990 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME98305 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | DB343A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BARNETT, BOLT, KIRKWOOD, LONG AND MCBRIDE | Agent | 601 BAYSHORE BLVD., TAMPA, FL, 33606 |
| Name | Role | Address |
|---|---|---|
| BEEBE PAUL EMD | Manager | 1533 S. LODGE DRIVE, SARASOTA, FL, 34239 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-29 | 12250 E. TAMIAMI TRAIL, 201, NAPLES, FL 34113 | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2013-07-25 |
| ANNUAL REPORT | 2011-04-29 |
| Florida Limited Liability | 2010-02-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
