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COASTAL PAIN MEDICINE, INC. - Florida Company Profile

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Company Details

Entity Name: COASTAL PAIN MEDICINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 01 Nov 2017 (8 years ago)
Date of dissolution: 27 Sep 2024 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (a year ago)
Document Number: P17000088013
FEI/EIN Number 82-3276904
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
City: Pompano Beach
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

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

National Provider Identifier

NPI Number:
1144735267

Authorized Person:

Name:
JONATHAN COIT KRUG
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9545435994

Events

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 - -

Documents

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

USAspending Awards / Financial Assistance

Date:
2021-01-29
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:
31573.00
Total Face Value Of Loan:
31573.00
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:
36500.00
Total Face Value Of Loan:
36500.00
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:
36500.00
Total Face Value Of Loan:
36500.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$31,573
Date Approved:
2021-01-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$31,573
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$31,783.2
Servicing Lender:
Ameris Bank
Use of Proceeds:
Payroll: $31,570
Utilities: $1
Jobs Reported:
5
Initial Approval Amount:
$36,500
Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$36,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$36,736
Servicing Lender:
Ameris Bank
Use of Proceeds:
Payroll: $36,500

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Date of last update: 02 Aug 2025

Sources: Florida Department of State