| Entity Name: | COAST PAIN RELIEF CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Jul 2003 (22 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P03000074472 |
| FEI/EIN Number | 810624119 |
| Address: | 7542 U.S. HWY. 1, PORT SAINT LUCI, FL, 34952, US |
| Mail Address: | 7542 U.S. HWY. 1, PORT SAINT LUCI, FL, 34952, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033357694 | 2009-02-04 | 2009-02-04 | 3233 SW PORT ST. LUCIE BLVD, PORT ST. LUCIE, FL, 349533490, US | 3233 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL, 349533490, US | |||||||||||||||||||
|
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| Phone | +1 772-873-5552 |
| Fax | 7728735747 |
Authorized person
| Name | MS. LINDSAY NICOLE PETTY |
| Role | OFFICE MANAGER |
| Phone | 7728735552 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME 62002 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| FAULHABER JAMES | Director | 7542 U.S. HWY. 1, PORT SAINT LUCI, FL, 34952 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000091213 | PSL INJURY CENTER | EXPIRED | 2010-10-05 | 2015-12-31 | No data | 7542 S. US HIGHWAY 1, PORT SAINT LUCIE, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REINSTATEMENT | 2014-02-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-25 | 7542 U.S. HWY. 1, PORT SAINT LUCI, FL 34952 | No data |
| REINSTATEMENT | 2012-01-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-25 | 7542 U.S. HWY. 1, PORT SAINT LUCI, FL 34952 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| NAME CHANGE AMENDMENT | 2003-07-25 | COAST PAIN RELIEF CENTER, INC. | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2012-01-25 |
| ANNUAL REPORT | 2010-02-24 |
| ANNUAL REPORT | 2009-03-24 |
| ANNUAL REPORT | 2008-04-15 |
| ANNUAL REPORT | 2007-03-20 |
| ANNUAL REPORT | 2006-04-21 |
| ANNUAL REPORT | 2005-05-02 |
| ANNUAL REPORT | 2004-04-15 |
| Name Change | 2003-07-25 |
| Domestic Profit | 2003-07-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
