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COASTAL PLUS MEDICAL CENTER, INC. - Florida Company Profile

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Company Details

Entity Name: COASTAL PLUS MEDICAL CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Apr 2010 (15 years ago)
Document Number: P10000029970
FEI/EIN Number 272268890
Address: 11761 BEACH BLVD, STE 8, JACKSONVILLE, FL, 32246, US
Mail Address: 11761 BEACH BLVD, STE 8, JACKSONVILLE, FL, 32246, US
ZIP code: 32246
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RIZA CARMEN D President 11761 BEACH BLVD, JACKSONVILLE, FL, 32246
RIZA CARMEN D Agent 11761 BEACH BLVD, JACKSONVILLE, FL, 32246

National Provider Identifier

NPI Number:
1407172018
Certification Date:
2024-12-17

Authorized Person:

Name:
DR. CARMEN D RIZA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9046428375

Form 5500 Series

Employer Identification Number (EIN):
272268890
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
6
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-04-20 RIZA, CARMEN D -
REGISTERED AGENT ADDRESS CHANGED 2020-04-20 11761 BEACH BLVD, STE 8, JACKSONVILLE, FL 32246 -
CHANGE OF PRINCIPAL ADDRESS 2013-04-16 11761 BEACH BLVD, STE 8, JACKSONVILLE, FL 32246 -
CHANGE OF MAILING ADDRESS 2013-04-16 11761 BEACH BLVD, STE 8, JACKSONVILLE, FL 32246 -

Documents

Name Date
ANNUAL REPORT 2024-03-19
ANNUAL REPORT 2023-03-22
ANNUAL REPORT 2022-02-10
ANNUAL REPORT 2021-02-18
ANNUAL REPORT 2020-04-20
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2017-04-04
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-08

USAspending Awards / Financial Assistance

Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
128700.00
Total Face Value Of Loan:
128700.00

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$128,700
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$128,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$129,934.11
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $128,700

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Date of last update: 01 Jul 2025

Sources: Florida Department of State