| Entity Name: | COASTAL UROLOGY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
COASTAL UROLOGY, P.A. 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: | 18 Aug 2006 (19 years ago) |
| Document Number: | P06000107815 |
| FEI/EIN Number |
205399370
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1823 HURLBURT RD, STE 7, FT WALTON BEACH, FL, 32547, US |
| Mail Address: | P.O. BOX 936, SHALIMAR, FL, 32579 |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396853941 | 2006-08-25 | 2020-08-22 | PO BOX 936, SHALIMAR, FL, 325790936, US | 4012 COMMONS DR W, SUITE 100, DESTIN, FL, 325418422, US | |||||||||||||||||||
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| Phone | +1 850-837-0442 |
| Fax | 8508371051 |
Authorized person
| Name | DEBBIE THUY NGUYEN |
| Role | OFFICE MANAGER |
| Phone | 8508370442 |
Taxonomy
| Taxonomy Code | 208800000X - Urology Physician |
| License Number | ME72919 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHUNG TED D | President | 169 ELDREDGE ROAD, FORT WALTON BEACH, FL, 32547 |
| NGUYEN ANN T | Vice President | 169 ELDREDGE ROAD, FORT WALTON BEACH, FL, 32547 |
| NGUYEN DEBBIE T | Secretary | 1948 WOODCREST RIDGE, FORT WALTON BEACH, FL, 32547 |
| NGUYEN ANN TMD | Agent | 169 ELDREDGE ROAD, FORT WALTON BEACH, FL, 32547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2015-01-04 | NGUYEN, ANN T, MD | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-16 | 1823 HURLBURT RD, STE 7, FT WALTON BEACH, FL 32547 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-25 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-15 |
| ANNUAL REPORT | 2020-01-11 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-08 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-16 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
