Search icon

COASTLINE MEDICAL SERVICES, PLLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: COASTLINE MEDICAL SERVICES, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

COASTLINE MEDICAL SERVICES, PLLC 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 18 Jul 2016 (9 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 17 Dec 2021 (4 years ago)
Document Number: L16000134898
FEI/EIN Number 81-3320059

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1817 LEWIS TURNER BLVD, FORT WALTON BEACH, FL, 32547, US
Mail Address: 1817 LEWIS TURNER BLVD, FORT WALTON BEACH, FL, 32547, US
ZIP code: 32547
City: Fort Walton Beach
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TAVERNARIS MICHAEL E Director 1817 Lewis Turner Blvd Ste F, Fort Walton Beach, FL, 32547
- Agent -

National Provider Identifier

NPI Number:
1003361767
Certification Date:
2024-09-27

Authorized Person:

Name:
DR. MICHAEL TAVERNARIS
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207QS0010X - Sports Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000027857 FLORIDA CANNABIS CLINIC EXPIRED 2017-03-15 2022-12-31 - 208 MARY ESTHER BLVD, UNIT 1, MARY ESTHER, FL, 32569

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2021-12-17 - -
REGISTERED AGENT NAME CHANGED 2021-12-17 REGISTERED AGENTS INC. -
REGISTERED AGENT ADDRESS CHANGED 2021-12-17 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 -
CHANGE OF MAILING ADDRESS 2021-11-30 1817 LEWIS TURNER BLVD, STE F, FORT WALTON BEACH, FL 32547 -
CHANGE OF PRINCIPAL ADDRESS 2021-06-25 1817 LEWIS TURNER BLVD, STE F, FORT WALTON BEACH, FL 32547 -

Documents

Name Date
ANNUAL REPORT 2025-02-04
ANNUAL REPORT 2024-01-30
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-01-27
CORLCRACHG 2021-12-17
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-04-30

USAspending Awards / Financial Assistance

Date:
2021-03-05
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
25534.35
Total Face Value Of Loan:
25534.35
Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
22540.00
Total Face Value Of Loan:
22540.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$22,540
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$22,540
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$22,727.11
Servicing Lender:
Square Capital, LLC
Use of Proceeds:
Payroll: $16,905
Mortgage Interest: $5,635
Jobs Reported:
2
Initial Approval Amount:
$25,534.35
Date Approved:
2021-03-05
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$25,534.35
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$25,732.33
Servicing Lender:
Square Capital, LLC
Use of Proceeds:
Payroll: $25,533.35

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 03 Jul 2025

Sources: Florida Department of State