| Entity Name: | COASTAL CARE HOME MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Oct 2008 (16 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P08000096453 |
| FEI/EIN Number | 263654870 |
| Address: | 17521 U.S. Highway 441, Suite 12, Mount Dora, FL, 32757, US |
| Mail Address: | 17521 U.S. Highway 441, Suite 12, Mount Dora, FL, 32757, US |
| ZIP code: | 32757 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700101623 | 2010-04-03 | 2010-11-15 | 1055 N DIXIE FWY, SUITE 7, NEW SMYRNA BEACH, FL, 321686201, US | 1055 N DIXIE FWY, SUITE 7, NEW SMYRNA BEACH, FL, 321686201, US | |||||||||||||
|
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| Phone | +1 407-417-3373 |
Authorized person
| Name | MR. RYAN C WILLIAMS |
| Role | PRESIDENT |
| Phone | 4074173373 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILLIAMS KEVIN C | Agent | 388 GILSTON COURT, HEATHROW, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS KEVIN C | Chief Executive Officer | 388 GILSTON COURT, HEATHROW, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-30 | 17521 U.S. Highway 441, Suite 12, Mount Dora, FL 32757 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-30 | 17521 U.S. Highway 441, Suite 12, Mount Dora, FL 32757 | No data |
| CANCEL ADM DISS/REV | 2010-03-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-23 | 388 GILSTON COURT, HEATHROW, FL 32746 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-03-23 | WILLIAMS, KEVIN C | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000599357 | TERMINATED | 1000000972711 | LAKE | 2023-12-01 | 2043-12-06 | $ 990.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J21000512297 | TERMINATED | 1000000903334 | LAKE | 2021-09-30 | 2041-10-06 | $ 990.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-02-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
