| Entity Name: | GULF COAST REHABILITATION SERVICES, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
GULF COAST REHABILITATION SERVICES, INC is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation 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: | 05 Dec 2003 (21 years ago) |
| Document Number: | P03000147034 |
| FEI/EIN Number |
450491431
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4905 34th Street S, Unit 363, St Petersburg, FL, 33711, US |
| Mail Address: | 4905 34th Street S, Unit 363, St Petersburg, FL, 33711, US |
| ZIP code: | 33711 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447569264 | 2010-09-28 | 2014-03-19 | PO BOX 13798, TAMPA, FL, 336813798, US | 3825 HENDERSON BLVD, SUITE 405, TAMPA, FL, 336295037, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 877-957-3422 |
| Fax | 8779573422 |
Authorized person
| Name | DR. JOSHUA ELLIOTT SHANNON |
| Role | CEO |
| Phone | 8779573422 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| License Number | MH11189 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | 5525 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | 5552 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH11189 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | SW7468 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | MH11189 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 102L00000X - Psychoanalyst |
| License Number | SW7468 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 102L00000X - Psychoanalyst |
| License Number | MH11189 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | SW7468 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 104100000X - Social Worker |
| License Number | SW7468 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW7468 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SHANNON JOSHUA E | Chief Executive Officer | 4905 34th Street S, St Petersburg, FL, 33711 |
| SHANNON JOSHUA E | Agent | 4905 34th Street S, St Petersburg, FL, 33711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000148850 | GULF ATLANTIC PARTNERS | EXPIRED | 2009-08-24 | 2014-12-31 | - | 12735 KINGS LAKE DRIVE, GIBSONTON, FL, 33534 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-26 | 4905 34th Street S, Unit 363, St Petersburg, FL 33711 | - |
| CHANGE OF MAILING ADDRESS | 2024-02-26 | 4905 34th Street S, Unit 363, St Petersburg, FL 33711 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-26 | 4905 34th Street S, Unit 363, St Petersburg, FL 33711 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-10 |
| ANNUAL REPORT | 2017-01-05 |
| ANNUAL REPORT | 2016-07-08 |
| ANNUAL REPORT | 2015-03-15 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | VA317VBA09L2095325 | 2010-08-14 | 2010-08-31 | 2010-08-31 | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| Title | EXTEND DATE OF SERVICE ONLY - NO COST MODIFICATION. SAINT PETERSBURG FL RO - VR&E SERVICES. |
| NAICS Code | 624310: VOCATIONAL REHABILITATION SERVICES |
| Product and Service Codes | U009: EDUCATION SERVICES |
Recipient Details
| Recipient | GULF COAST REHABILITATION SERVICES, INC |
| UEI | SV69HKFTF4T4 |
| Legacy DUNS | 831090852 |
| Recipient Address | 4832 W BAY CT AVE, TAMPA, 336110000, UNITED STATES |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
