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COASTAL COMPLETE CARE, P.A. - Florida Company Profile

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Company Details

Entity Name: COASTAL COMPLETE CARE, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

COASTAL COMPLETE CARE, 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: 06 Oct 2014 (11 years ago)
Document Number: P14000082329
FEI/EIN Number 47-2011456

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

Address: 100 PLANTATION ROAD, PERRY, FL, 32348
Mail Address: 100 PLANTATION ROAD, PERRY, FL, 32348
ZIP code: 32348
City: Perry
County: Taylor
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BETHEA WESLEY SDC President 100 PLANTATION ROAD, PERRY, FL, 32348
BETHEA WESLEY SDC Agent 100 PLANTATION ROAD, PERRY, FL, 32348
Gill Sahibjit DC Vice President 100 PLANTATION ROAD, PERRY, FL, 32348
Herring Joseph DC Vice President 100 PLANTATION ROAD, PERRY, FL, 32348

National Provider Identifier

NPI Number:
1720483043

Authorized Person:

Name:
JAMIE PORTWOOD
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-04-12
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-04-19
ANNUAL REPORT 2020-03-25
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-01-09
AMENDED ANNUAL REPORT 2017-08-07
ANNUAL REPORT 2017-01-23
ANNUAL REPORT 2016-04-14

USAspending Awards / Financial Assistance

Date:
2020-04-07
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:
200200.00
Total Face Value Of Loan:
200200.00

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$200,200
Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$200,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$202,051.85
Servicing Lender:
Lafayette State Bank
Use of Proceeds:
Payroll: $200,200
Jobs Reported:
15
Initial Approval Amount:
$200,250
Date Approved:
2021-01-20
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$200,250
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$201,512.69
Servicing Lender:
Lafayette State Bank
Use of Proceeds:
Payroll: $200,245
Utilities: $1

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Date of last update: 03 Jul 2025

Sources: Florida Department of State