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COASTAL CARE SVCS TPA, INC - Florida Company Profile

Company Details

Entity Name: COASTAL CARE SVCS TPA, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

COASTAL CARE SVCS TPA, 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: 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: 22 May 2020 (5 years ago)
Document Number: P20000038749
FEI/EIN Number 85-1141587

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

Address: 1200 NW 78th Avenue, DORAL, FL, 33126, US
Mail Address: 1200 NW 78th Avenue, DORAL, FL, 33126, US
ZIP code: 33126
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700483435 2020-10-06 2021-05-24 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
Fax 8664810606

Authorized person

Name YSEL M GARCIA
Role SENIOR VICE PRESIDENT
Phone 8554810505

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Key Officers & Management

Name Role Address
CHAMIZO JORGE President 1200 NW 78th Avenue, DORAL, FL, 33126
GARCIA YSEL Vice President 1200 NW 78th Avenue, DORAL, FL, 33126
FORTE YHANEYA Secretary 1200 NW 78th Avenue, DORAL, FL, 33126
GARCIA YSEL Agent 1200 NW 78th Avenue, DORAL, FL, 33126

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-01-29 1200 NW 78th Avenue, Suite #100, DORAL, FL 33126 -
CHANGE OF MAILING ADDRESS 2021-01-29 1200 NW 78th Avenue, Suite #100, DORAL, FL 33126 -
REGISTERED AGENT ADDRESS CHANGED 2021-01-29 1200 NW 78th Avenue, Suite #100, DORAL, FL 33126 -

Documents

Name Date
ANNUAL REPORT 2025-02-12
ANNUAL REPORT 2024-01-09
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-03-03
ANNUAL REPORT 2021-01-29
Domestic Profit 2020-05-22

Date of last update: 03 Mar 2025

Sources: Florida Department of State