| Entity Name: | COASTAL PAIN MANAGEMENT, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 May 2020 (5 years ago) |
| Document Number: | L20000126335 |
| FEI/EIN Number | 851092728 |
| Address: | 14 Live Oak Street, suite c4, Gulf Breeze, FL, 32561, US |
| Mail Address: | 14 Live Oak Street, Suite C4, Gulf Breeze, FL, 32561, US |
| ZIP code: | 32561 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609499524 | 2020-05-27 | 2020-06-01 | 14 LIVE OAK ST STE C-4, GULF BREEZE, FL, 325614484, US | 14 LIVE OAK ST STE C-4, GULF BREEZE, FL, 325614484, US | |||||||||||||||
|
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| Phone | +1 850-490-8862 |
| Fax | 9379150250 |
Authorized person
| Name | LAURA TUNKE |
| Role | OWNER |
| Phone | 8504908862 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TUNKE LAURA M | Agent | 14 Live Oak Street, Gulf Breeze, FL, 32561 |
| Name | Role | Address |
|---|---|---|
| Tunke Laura M | Manager | 14 Live Oak Street, Gulf Breeze, FL, 32561 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-10 | 14 Live Oak Street, suite c4, Gulf Breeze, FL 32561 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-10 | 14 Live Oak Street, suite c4, Gulf Breeze, FL 32561 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-10 | 14 Live Oak Street, Suite C4, Gulf Breeze, FL 32561 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-02-15 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-04-21 |
| Florida Limited Liability | 2020-05-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
