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RIVERCOAST ANESTHESIA, P.A. - Florida Company Profile

Company Details

Entity Name: RIVERCOAST ANESTHESIA, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

RIVERCOAST ANESTHESIA, 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: 13 Aug 2013 (12 years ago)
Document Number: P13000067399
FEI/EIN Number 46-3554647

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1899 Murrell Road, Rockledge, FL, 32955, US
Mail Address: 1965 Rockledge Dr, Rockledge, FL, 32955, US
ZIP code: 32955
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609252188 2015-08-06 2015-08-06 1899 MURRELL RD STE 130, ROCKLEDGE, FL, 329553285, US 1899 MURRELL RD STE 130, ROCKLEDGE, FL, 329553285, US

Contacts

Phone +1 321-305-5987
Fax 3213382977

Authorized person

Name DR. MICHAEL DELANO WILLIS
Role PRESIDENT
Phone 3213055987

Taxonomy

Taxonomy Code 261QP3300X - Pain Clinic/Center
License Number 11323
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
WILLIS MICHAEL President 1965 ROCKLEDGE DRIVE, ROCKLEDGE, FL, 32955
Willis Kevin Manager 1899 Murrell Road, Rockledge, FL, 32955
WIllis Michael D Agent 1965 Rockledge Drive, Rockledge, FL, 32955

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000050658 RIVERCOAST PAIN MANAGEMENT EXPIRED 2014-05-23 2019-12-31 - 1965 ROCKLEDGE DRIVE, ROCKLEDGE, FL, 32955

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-18 1899 Murrell Road, Suite #130, Rockledge, FL 32955 -
CHANGE OF MAILING ADDRESS 2024-03-18 1899 Murrell Road, Suite #130, Rockledge, FL 32955 -
REGISTERED AGENT NAME CHANGED 2014-03-17 WIllis, Michael D -
REGISTERED AGENT ADDRESS CHANGED 2014-03-17 1965 Rockledge Drive, Rockledge, FL 32955 -

Documents

Name Date
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-04-14
ANNUAL REPORT 2022-03-17
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-03-25
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-03-11
ANNUAL REPORT 2017-02-19
ANNUAL REPORT 2016-03-06
ANNUAL REPORT 2015-04-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9010467008 2020-04-09 0455 PPP 1965 ROCKLEDGE DR, ROCKLEDGE, FL, 32955-4910
Loan Status Date 2021-04-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 92300
Loan Approval Amount (current) 93259.59
Undisbursed Amount 0
Franchise Name -
Lender Location ID 225134
Servicing Lender Name Truist Bank
Servicing Lender Address 214 N Tryon St, CHARLOTTE, NC, 28202-1078
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ROCKLEDGE, BREVARD, FL, 32955-4910
Project Congressional District FL-08
Number of Employees 7
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 225134
Originating Lender Name Truist Bank
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 94091.15
Forgiveness Paid Date 2021-03-23

Date of last update: 03 Mar 2025

Sources: Florida Department of State