| Entity Name: | COASTAL REHAB AND SPORTS MEDICINE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
COASTAL REHAB AND SPORTS MEDICINE, 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: |
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: | 08 Jan 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Oct 2017 (8 years ago) |
| Document Number: | L13000003450 |
| FEI/EIN Number |
46-1705597
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 360 Palm Coast Parkway NE, PALM COAST, FL, 32137, US |
| Mail Address: | 360 Palm Coast Parkway NE, PALM COAST, FL, 32137, US |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982946810 | 2013-03-18 | 2022-06-09 | 360 PALM COAST PKWY NE, PALM COAST, FL, 321373805, US | 360 PALM COAST PKWY NE, PALM COAST, FL, 321373805, US | |||||||||||||||||||
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| Phone | +1 386-446-4101 |
| Fax | 3864472161 |
Authorized person
| Name | WILLIAM JOSEPH SIBILLE |
| Role | OWNER |
| Phone | 9045014344 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT21524 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SIBILLE WILLIAM J | Managing Member | 160 Costa Blanca Rd, ST AUGUSTINE, FL, 32095 |
| SIBILLE WILLIAM J | Agent | 160 Costa Blanca Rd, ST AUGUSTINE, FL, 32095 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-07 | 360 Palm Coast Parkway NE, PALM COAST, FL 32137 | - |
| CHANGE OF MAILING ADDRESS | 2021-01-07 | 360 Palm Coast Parkway NE, PALM COAST, FL 32137 | - |
| REINSTATEMENT | 2017-10-03 | - | - |
| REGISTERED AGENT NAME CHANGED | 2017-10-03 | SIBILLE, WILLIAM J | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-10-03 | 160 Costa Blanca Rd, ST AUGUSTINE, FL 32095 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-04-06 |
| REINSTATEMENT | 2017-10-03 |
| ANNUAL REPORT | 2016-04-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8791547005 | 2020-04-08 | 0491 | PPP | 520 PALM COAST PKWY SW STE 101, PALM COAST, FL, 32137 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
