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COASTAL CARE MEDICAL SUPPLY, INC. - Florida Company Profile

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Company Details

Entity Name: COASTAL CARE MEDICAL SUPPLY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 09 Nov 1998 (27 years ago)
Date of dissolution: 11 Aug 2011 (14 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 11 Aug 2011 (14 years ago)
Document Number: P98000094703
FEI/EIN Number 650874208
Address: 1440 RAIL HEAD BLVD, 7, NAPLES, FL, 34110, US
Mail Address: 1800 W WOOLBRIGHT ROAD, 200, BOYNTON BEACH, FL, 33426, US
ZIP code: 34110
City: Naples
County: Collier
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FEDELE JONATHAN J President 701 SW 36 AVENUE, BOYNTON BEACH, FL, 33435
MIKO KYLE W Vice President 5716 NW 125 TERRACE, CORAL SPRINGS, FL, 33076
FEDELE JONATHAN J Agent 701 SW 36 AVENUE, BOYNTON BEACH, FL, 33435

National Provider Identifier

NPI Number:
1356651673

Authorized Person:

Name:
MR. JONATHAN JAMES FEDELE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
5612077781
Fax:
5612144004

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000079181 HME PARTNERS EXPIRED 2010-08-27 2015-12-31 - 1800 W. WOOLBRIGHT ROAD, SUITE 200, BOYNTON BEACH, FL, 33426

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2011-08-11 - -
CHANGE OF PRINCIPAL ADDRESS 2011-01-12 1440 RAIL HEAD BLVD, 7, NAPLES, FL 34110 -
CHANGE OF MAILING ADDRESS 2011-01-12 1440 RAIL HEAD BLVD, 7, NAPLES, FL 34110 -
REGISTERED AGENT ADDRESS CHANGED 2004-03-17 701 SW 36 AVENUE, BOYNTON BEACH, FL 33435 -

Documents

Name Date
VOLUNTARY DISSOLUTION 2011-08-11
ANNUAL REPORT 2011-01-12
ANNUAL REPORT 2010-01-07
ANNUAL REPORT 2009-07-29
ANNUAL REPORT 2009-02-16
ANNUAL REPORT 2008-04-22
ANNUAL REPORT 2007-01-08
ANNUAL REPORT 2006-03-14
ANNUAL REPORT 2005-01-03
ANNUAL REPORT 2004-03-17

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Date of last update: 01 Aug 2025

Sources: Florida Department of State