| Entity Name: | COASTAL THERAPY & LEARNING CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 May 2001 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Jan 2012 (13 years ago) |
| Document Number: | P01000046491 |
| FEI/EIN Number | 593715086 |
| Address: | 2730 ISABELLA BLVD, SUITE 10, JACKSONVILLE BEACH, FL, 32250, US |
| Mail Address: | 2730 ISABELLA BLVD, SUITE 10, JACKSONVILLE BEACH, FL, 32250, US |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184711053 | 2006-10-10 | 2009-07-27 | 2730 ISABELLA BLVD, SUITE 10, JACKSONVILLE BEACH, FL, 322508001, US | 2730 ISABELLA BLVD, SUITE 10, JACKSONVILLE BEACH, FL, 322508001, US | |||||||||||||||||||||||||
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| Phone | +1 904-372-4070 |
| Fax | 9043724075 |
Authorized person
| Name | MRS. NANCY T. LOTOWYCZ |
| Role | OWNER/DIRECTOR |
| Phone | 9043724070 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA2176 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 888900700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TURNER NANCY | Agent | 2730 ISABELLA BLVD, JACKSONVILLE BEACH, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| TURNER NANCY | President | 2730 ISABELLA BLVD, JACKSONVILLE BEACH, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| TURNER NANCY | Director | 2730 ISABELLA BLVD, JACKSONVILLE BEACH, FL, 32250 |
| Name | Role | Address |
|---|---|---|
| DeAngelis Nancy K | Prac | 2730 ISABELLA BLVD, JACKSONVILLE BEACH, FL, 32250 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000049372 | COASTAL PEDIATRIC THERAPY CENTER | ACTIVE | 2017-05-05 | 2027-12-31 | No data | 2730 ISABELLA BLVD, SUITE 10, JACKSONVILLE BEACH, FL, 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-24 | 2730 ISABELLA BLVD, SUITE 10, JACKSONVILLE BEACH, FL 32250 | No data |
| PENDING REINSTATEMENT | 2012-01-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-24 | 2730 ISABELLA BLVD, SUITE 10, JACKSONVILLE BEACH, FL 32250 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-24 | 2730 ISABELLA BLVD, SUITE 10, JACKSONVILLE BEACH, FL 32250 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-01-24 | TURNER, NANCY | No data |
| REINSTATEMENT | 2012-01-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| NAME CHANGE AMENDMENT | 2004-07-26 | COASTAL THERAPY & LEARNING CENTER, INC. | No data |
| AMENDMENT AND NAME CHANGE | 2004-07-12 | COASTAL THERAPY CENTER, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-24 |
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-01-10 |
| ANNUAL REPORT | 2021-01-15 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-02-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
