| Entity Name: | COASTAL PAIN MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
COASTAL PAIN MEDICINE, INC. 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 01 Nov 2017 (7 years ago) |
| Date of dissolution: | 27 Sep 2024 (7 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (7 months ago) |
| Document Number: | P17000088013 |
| FEI/EIN Number |
82-3276904
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 100 EAST SAMPLE RD, SUITE 200, POMPANO BEACH, FL, 33064, US |
| Mail Address: | 100 EAST SAMPLE RD, SUITE 200, POMPANO BEACH, FL, 33064, US |
| ZIP code: | 33064 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144735267 | 2017-12-12 | 2018-01-10 | 11244 TURNBRIDGE DR, JACKSONVILLE, FL, 322562342, US | 100 E SAMPLE RD STE 200, POMPANO BEACH, FL, 330643554, US | |||||||||||||||||
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| Phone | +1 904-591-4150 |
| Phone | +1 954-543-5100 |
| Fax | 9545435994 |
Authorized person
| Name | JONATHAN COIT KRUG |
| Role | DIRECTOR |
| Phone | 9045914150 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KRUG JONATHAN C | Director | 100 EAST SAMPLE RD, POMPANO BEACH, FL, 33064 |
| LONGOBARDI MONICA | Director | 19538 BLACK OLIVE LANE, BOCA RATON, FL, 33498 |
| KRUG JONATHAN C | Agent | 100 EAST SAMPLE RD, POMPANO BEACH, FL, 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| CHANGE OF MAILING ADDRESS | 2020-03-17 | 100 EAST SAMPLE RD, SUITE 200, POMPANO BEACH, FL 33064 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-17 | 100 EAST SAMPLE RD, SUITE 200, POMPANO BEACH, FL 33064 | - |
| AMENDMENT | 2017-12-14 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-18 |
| Amendment | 2017-12-14 |
| Domestic Profit | 2017-11-01 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8458538310 | 2021-01-29 | 0455 | PPS | 100 E SAMPLE RD STE SUITE 200, POMPANO BEACH, FL, 33064 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4926327009 | 2020-04-04 | 0455 | PPP | 100 East SAMPLE RD Suite 22, POMPANO BEACH, FL, 33064-3548 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
