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COASTAL CARE SERVICES, INC.

Company Details

Entity Name: COASTAL CARE SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 08 May 2015 (10 years ago)
Last Event: AMENDMENT
Event Date Filed: 03 Feb 2016 (9 years ago)
Document Number: P15000041762
FEI/EIN Number 47-3943931
Address: 1200 NW 78th Avenue, Suite #100, DORAL, FL 33126
Mail Address: 1200 NW 78th Avenue, Suite #100, DORAL, FL 33126
ZIP code: 33126
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013392240 2015-07-29 2021-05-25 1200 NW 78TH AVE STE 100, DORAL, FL, 331261816, US 1200 NW 78TH AVE STE 100, DORAL, FL, 331261816, US

Contacts

Phone +1 855-481-0505
Fax 8554810606

Authorized person

Name MR. YSEL GARCIA
Role SENIOR VP
Phone 8554810505

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Agent

Name Role Address
RUIZ, GLADYS Agent 1200 NW 78th Avenue, Suite #100, DORAL, FL 33126

Vice Chairman

Name Role Address
GARCIA, YSEL Vice Chairman 1200 NW 78th Avenue, SUITE #100 Doral, FL 33126

Treasurer

Name Role Address
FORTE, YHANEYA Treasurer 1200 NW 78th Avenue, SUITE #100 Doral, FL 33126

Secretary

Name Role Address
Forte, Yhaneya Secretary 1200 NW 78th Avenue, Suite #100 Doral, FL 33126

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-01-09 1200 NW 78th Avenue, Suite #100, DORAL, FL 33126 No data
CHANGE OF PRINCIPAL ADDRESS 2021-01-29 1200 NW 78th Avenue, Suite #100, DORAL, FL 33126 No data
CHANGE OF MAILING ADDRESS 2021-01-29 1200 NW 78th Avenue, Suite #100, DORAL, FL 33126 No data
AMENDMENT 2016-02-03 No data No data
AMENDMENT 2015-08-04 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-09
Reg. Agent Resignation 2023-12-18
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-02-06
ANNUAL REPORT 2019-04-25
Reg. Agent Change 2018-08-20
ANNUAL REPORT 2018-04-16
ANNUAL REPORT 2017-04-17

Date of last update: 21 Jan 2025

Sources: Florida Department of State