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  5. COASTAL HEALTHCARE PARTNERS LLC

COASTAL HEALTHCARE PARTNERS LLC

Company Details

Entity Name: COASTAL HEALTHCARE PARTNERS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 14 Jun 2016 (9 years ago)
Document Number: L16000114653
FEI/EIN Number 81-2989278
Address: 50 LEANNI WAY, D1, PALM COAST, FL 32137
Mail Address: 50 LEANNI WAY, D1, PALM COAST, FL 32137
ZIP code: 32137
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053762740 2016-06-24 2022-07-21 50 LEANNI WAY, SUITE D1, PALM COAST, FL, 32137, US 50 LEANNI WAY, SUITE D1, PALM COAST, FL, 32137, US

Contacts
Phone +1 386-283-5997
Fax 3862835652

Authorized person
Name MICHAEL ALLEN OSBORNE
Role OWNER
Phone 3862835997

Taxonomy
Taxonomy Code 208D00000X - General Practice Physician
License Number ME101968
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COASTAL HEALTHCARE PARTNERS, LLC 401(K) PROFIT SHARING PLAN 2023 812989278 2024-09-09 COASTAL HEALTHCARE PARTNERS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3862835997
Plan sponsor’s address 50 LEANNI WAY, D1, PALM COAST, FL, 32137

Signature of
Role Plan administrator
Date 2024-09-09
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-09
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTHCARE PARTNERS, LLC 401(K) PROFIT SHARING PLAN 2022 812989278 2023-06-20 COASTAL HEALTHCARE PARTNERS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3862835997
Plan sponsor’s address 50 LEANNI WAY, D1, PALM COAST, FL, 32137

Signature of
Role Plan administrator
Date 2023-06-20
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-20
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTHCARE PARTNERS, LLC 401(K) PROFIT SHARING PLAN 2021 812989278 2022-01-20 COASTAL HEALTHCARE PARTNERS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3862835997
Plan sponsor’s address 50 LEANNI WAY, D1, PALM COAST, FL, 32137

Signature of
Role Plan administrator
Date 2022-01-19
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-01-19
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTHCARE PARTNERS, LLC 401(K) PROFIT SHARING PLAN 2020 812989278 2021-08-02 COASTAL HEALTHCARE PARTNERS, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3862835997
Plan sponsor’s address 50 LEANNI WAY, D1, PALM COAST, FL, 32137

Signature of
Role Plan administrator
Date 2021-08-02
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-02
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTHCARE PARTNERS, LLC 401(K) PROFIT SHARING PLAN 2019 812989278 2020-10-08 COASTAL HEALTHCARE PARTNERS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 3862835997
Plan sponsor’s address 50 LEANNI WAY, D1, PALM COAST, FL, 32137

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-08
Name of individual signing AMY OSBORNE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
OSBORNE, MICHAEL A, JR Agent 50 LEANNI WAY, D1, PALM COAST, FL 32137

Manager

Name Role Address
OSBORNE, MICHAEL A, JR Manager 50 LEANNI WAY D1, PALM COAST, FL 32137

Authorized Member

Name Role Address
Wojcik, Chris Authorized Member 760 S Volusia Ave #100, ORANGE CITY, FL 32763

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-04-16
ANNUAL REPORT 2019-05-02
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-03-31
Florida Limited Liability 2016-06-14

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Florida Department of State

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