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GULF COAST PSYCHIATRY, PLLC - Florida Company Profile

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Company Details

Entity Name: GULF COAST PSYCHIATRY, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Jul 2019 (6 years ago)
Document Number: L19000168194
FEI/EIN Number 84-2380796
Address: 3135 1st Ave N, ST PETERSBURG, FL, 33730, US
Mail Address: PO Box 13343, ST PETERSBURG, FL, 33733, US
ZIP code: 33730
City: Saint Petersburg
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PATEL JASON Authorized Member 3135 1st Ave N, ST PETERSBURG, FL, 33730
PATEL JASON Agent 3135 1st Ave N, ST PETERSBURG, FL, 33730

Unique Entity ID

Unique Entity ID:
KA9BAAHDKA83
UEI Expiration Date:
2025-09-24

Business Information

Doing Business As:
GULF COAST PSYCHIATRY PLLC
Activation Date:
2024-09-26
Initial Registration Date:
2023-10-25

National Provider Identifier

NPI Number:
1033722780
Certification Date:
2024-02-07

Authorized Person:

Name:
JASON ERIC PATEL
Role:
AUTHORIZED MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
7272055447

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-29 3135 1st Ave N, Unit 13343, ST PETERSBURG, FL 33730 -
REGISTERED AGENT ADDRESS CHANGED 2021-04-29 3135 1st Ave N, Unit 13343, ST PETERSBURG, FL 33730 -
CHANGE OF MAILING ADDRESS 2020-04-29 3135 1st Ave N, Unit 13343, ST PETERSBURG, FL 33730 -

Documents

Name Date
ANNUAL REPORT 2024-01-03
ANNUAL REPORT 2023-01-09
ANNUAL REPORT 2022-05-13
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-04-29
Florida Limited Liability 2019-07-10

USAspending Awards / Financial Assistance

Date:
2020-05-04
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:
3125.00
Total Face Value Of Loan:
3125.00
Date:
2020-05-04
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:
3125.00
Total Face Value Of Loan:
3125.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$3,125
Date Approved:
2020-05-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$3,125
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$3,169.95
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $3,125

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Date of last update: 02 Aug 2025

Sources: Florida Department of State