| Entity Name: | COASTAL CARE TAMPA BAY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 12 Mar 2012 (13 years ago) |
| Date of dissolution: | 30 Jun 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Jun 2020 (5 years ago) |
| Document Number: | L12000034888 |
| FEI/EIN Number | 45-4794514 |
| Address: | 9040 TOWN CENTER PARKWAY, LAKEWOOD RANCH, FL 34202 |
| Mail Address: | 340 Tamiami Trail S, Nokomis, FL 34275 |
| ZIP code: | 34202 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841554508 | 2012-06-27 | 2022-07-21 | 9040 TOWN CENTER PKWY, 106A, LAKEWOOD RANCH, FL, 342024101, US | 340 TAMIAMI TRL S, STE 203, NOKOMIS, FL, 342753179, US | |||||||||||||||||||||||
|
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| Phone | +1 941-306-1991 |
Authorized person
| Name | MISS VICTORIA PETTOGRASSO |
| Role | PRESIDENT |
| Phone | 9413061991 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| License Number | 30211572 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HORLICK, MICHAEL D | Agent | 1314 E. VENICE AVENUE, SUITE D, VENICE, FL 34285 |
| Name | Role | Address |
|---|---|---|
| PETTOGRASSO, VICTORIA | President | 9040 Town Center Parkway, Lakewood Ranch, FL 34202 |
| Pettograsso, Victoria | President | 9040 Town Center Parkway, Lakewood Ranch, FL 34202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-10 | 9040 TOWN CENTER PARKWAY, LAKEWOOD RANCH, FL 34202 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-09 | 9040 TOWN CENTER PARKWAY, LAKEWOOD RANCH, FL 34202 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-30 |
| ANNUAL REPORT | 2019-03-07 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-02-19 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-04-25 |
| Florida Limited Liability | 2012-03-12 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
