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COASTAL CARE MEDICAL CENTER, INC. - Florida Company Profile

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Company Details

Entity Name: COASTAL CARE MEDICAL CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

COASTAL CARE MEDICAL CENTER, 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: 11 Dec 1997 (28 years ago)
Date of dissolution: 25 Sep 2020 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (5 years ago)
Document Number: P97000104592
FEI/EIN Number 593489059

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

Address: 11761 BEACH BOULEVARD, SUITE 8, JACKSONVILLE, FL, 32246, US
Mail Address: 11761 BEACH BOULEVARD, SUITE 8, JACKSONVILLE, FL, 32246, US
ZIP code: 32246
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MILLER CLINT President 5353 DIXIE LANDING DRIVE, JACKSONVILLE, FL, 32224
MILLER CLINT Secretary 5353 DIXIE LANDING DRIVE, JACKSONVILLE, FL, 32224
MILLER CLINT Treasurer 5353 DIXIE LANDING DRIVE, JACKSONVILLE, FL, 32224
MILLER CLINT D Agent 5353 DIXIE LANDING DR, JACKSONVILLE, FL, 32224

National Provider Identifier

NPI Number:
1902970684

Authorized Person:

Name:
DR. CLINT D MILLER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9049283561

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 - -
CHANGE OF PRINCIPAL ADDRESS 2013-04-16 11761 BEACH BOULEVARD, SUITE 8, JACKSONVILLE, FL 32246 -
CHANGE OF MAILING ADDRESS 2013-04-16 11761 BEACH BOULEVARD, SUITE 8, JACKSONVILLE, FL 32246 -
REGISTERED AGENT ADDRESS CHANGED 2009-03-27 5353 DIXIE LANDING DR, JACKSONVILLE, FL 32224 -
NAME CHANGE AMENDMENT 2005-05-16 COASTAL CARE MEDICAL CENTER, INC. -
REGISTERED AGENT NAME CHANGED 1998-07-31 MILLER, CLINT D -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J09000813153 TERMINATED 1000000104455 14734 2362 2008-12-26 2029-03-05 $ 20.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825
J09000220516 TERMINATED 1000000104456 14734 2346 2008-12-26 2029-01-22 $ 6,813.14 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE A-250, JACKSONVILLE FL322096804
J09000457365 ACTIVE 1000000104455 14734 2362 2008-12-26 2029-01-28 $ 408.52 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE A-250, JACKSONVILLE FL322096804
J09000457373 ACTIVE 1000000104456 14734 2346 2008-12-26 2029-01-28 $ 6,813.14 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE A-250, JACKSONVILLE FL322096804
J09000532035 TERMINATED 1000000104455 14734 2362 2008-12-26 2029-02-04 $ 20.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE A-250, JACKSONVILLE FL322096804
J09000532043 TERMINATED 1000000104456 14734 2346 2008-12-26 2029-02-04 $ 20.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE A-250, JACKSONVILLE FL322096804
J09000606854 TERMINATED 1000000104455 14734 2362 2008-12-26 2029-02-11 $ 20.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE A-250, JACKSONVILLE FL322096804
J09000606862 TERMINATED 1000000104456 14734 2346 2008-12-26 2029-02-11 $ 20.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE A-250, JACKSONVILLE FL322096804
J09000680800 TERMINATED 1000000104455 14734 2362 2008-12-26 2029-02-18 $ 20.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825
J09000680818 TERMINATED 1000000104456 14734 2346 2008-12-26 2029-02-18 $ 20.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825

Documents

Name Date
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2017-07-14
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-08
ANNUAL REPORT 2014-03-19
ANNUAL REPORT 2013-04-16
ANNUAL REPORT 2012-03-29
ANNUAL REPORT 2011-04-13
ANNUAL REPORT 2010-03-25

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Date of last update: 01 Jun 2025

Sources: Florida Department of State