| Entity Name: | COASTAL PHYSICIAN CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
COASTAL PHYSICIAN CARE, 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: | 30 Oct 2014 (11 years ago) |
| Date of dissolution: | 22 Sep 2017 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (8 years ago) |
| Document Number: | L14000169311 |
| Address: | 90 Cypress Way E, NAPLES, FL, 34110, US |
| Mail Address: | 90 Cypress Way E, NAPLES, FL, 34110, US |
| ZIP code: | 34110 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124424098 | 2014-11-05 | 2014-11-05 | 1865 VETERANS PARK DR STE 202, NAPLES, FL, 341090447, US | 9250 CORKSCREW RD, SUITE 3, ESTERO, FL, 339283208, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 239-898-3836 |
| Phone | +1 239-498-2528 |
Authorized person
| Name | MR. JEREMY L DARSTEK |
| Role | CEO |
| Phone | 2398983836 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207QA0000X - Adolescent Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COASTAL PHYSICIAN CARE, LLC 401(K) PLAN | 2015 | 472211687 | 2016-10-17 | COASTAL PHYSICIAN CARE, LLC | 4 | |||||||||||||
|
||||||||||||||||||
| Name | Role | Address |
|---|---|---|
| DARSTEK JEREMY L | Agent | 90 Cypress Way E, NAPLES, FL, 34110 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| LC DISSOCIATION MEM | 2016-10-31 | - | - |
| LC DISSOCIATION MEM | 2016-07-11 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-19 | 90 Cypress Way E, Suite 10, NAPLES, FL 34110 | - |
| CHANGE OF MAILING ADDRESS | 2016-04-19 | 90 Cypress Way E, Suite 10, NAPLES, FL 34110 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-19 | 90 Cypress Way E, Suite 10, NAPLES, FL 34110 | - |
| LC AMENDMENT | 2014-11-25 | - | - |
| Name | Date |
|---|---|
| CORLCDSMEM | 2016-10-31 |
| CORLCDSMEM | 2016-07-11 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-04-30 |
| LC Amendment | 2014-11-25 |
| Florida Limited Liability | 2014-10-30 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
