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COASTAL FAMILY HEALTHCARE LLC - Florida Company Profile

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Company Details

Entity Name: COASTAL FAMILY HEALTHCARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 18 Feb 2015 (11 years ago)
Date of dissolution: 25 Sep 2020 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (5 years ago)
Document Number: L15000030597
FEI/EIN Number 47-3158007
Address: 21 Hospital Drive, Ste. 280, Palm Coast, FL, 32164, US
Mail Address: 21 Hospital Drive, Ste. 280, Palm Coast, FL, 32164, US
ZIP code: 32164
City: Palm Coast
County: Flagler
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Leventhal Jerry DMD Manager 21 Hospital Drive, Palm Coast, FL, 32164
Di Capua Joseph J Agent 8100 Royal Palm Blvd., Coral Springs, FL, 33065

National Provider Identifier

NPI Number:
1033500624

Authorized Person:

Name:
JERRY D LEVENTHAL
Role:
SOLE MBR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
CHANGE OF PRINCIPAL ADDRESS 2018-03-13 21 Hospital Drive, Ste. 280, Palm Coast, FL 32164 -
CHANGE OF MAILING ADDRESS 2018-03-13 21 Hospital Drive, Ste. 280, Palm Coast, FL 32164 -
REGISTERED AGENT NAME CHANGED 2018-03-13 Di Capua, Joseph J -
REGISTERED AGENT ADDRESS CHANGED 2018-03-13 8100 Royal Palm Blvd., Ste. 102, Coral Springs, FL 33065 -

Documents

Name Date
ANNUAL REPORT 2019-01-03
ANNUAL REPORT 2018-03-13
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-03-28
Florida Limited Liability 2015-02-18

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Date of last update: 03 Aug 2025

Sources: Florida Department of State