| Entity Name: | COASTAL NEUROLOGY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
COASTAL NEUROLOGY, 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: | 14 Oct 1999 (26 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 23 Oct 2018 (6 years ago) |
| Document Number: | P99000091954 |
| FEI/EIN Number |
593609982
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 725 W Granada Blvd, Ormond Beach, FL, 32174, US |
| Mail Address: | 725 W Granada Blvd, Suite 22, Ormond Beach, FL, 32174, US |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457358434 | 2005-07-05 | 2023-03-24 | 725 W GRANADA BLVD, SUITE 22, ORMOND BEACH, FL, 32174, US | 725 W GRANADA BLVD, SUITE 22, ORMOND BEACH, FL, 32174, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 386-788-2300 |
| Fax | 3869446622 |
Authorized person
| Name | DR. NEIL M BROWN |
| Role | CEO |
| Phone | 3867882300 |
Taxonomy
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | OS5774 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | ME84820 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| License Number | PA1823 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | INDIVIDUAL-BENEZETTE |
| Number | E60482 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BENEZETTE ALYN L | Director | 725 W GRANADA BLVD, ORMOND BEACH, FL, 32174 |
| BROWN NEIL M | Director | 725 W GRANADA BLVD, ORMOND BEACH, FL, 32174 |
| Brown Jeremy | Agent | 725 W Granada Blvd, Ormond Beach, FL, 32174 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000118595 | COASTAL PAIN AND NEUROLOGY CENTERS | EXPIRED | 2019-11-12 | 2024-12-31 | - | 725 W. GRANADA BLVD., SUITE 22, ORMOND BEACH, FL, 32174 |
| G18000123497 | COASTAL PAIN, NEUROLOGY AND NEUROSURGERY CENTERS | EXPIRED | 2018-11-19 | 2023-12-31 | - | 725 WEST GRANADA BLVD,, SUITE 22, ORMOND BEACH, FL, 32174 |
| G18000114690 | COASTAL PAIN, NEUROLOGY AND NEUROSURGICAL CENTERS | EXPIRED | 2018-10-23 | 2023-12-31 | - | 725 WEST GRANADA BLVD, SUITE 22, ORMOND BEACH, FL, 32177-4 |
| G13000110806 | COASTAL PAIN AND NEUROLOGY CENTERS | EXPIRED | 2013-11-12 | 2018-12-31 | - | 801 BEVILLE ROAD, SOUTH DAYTONA, FL, 32119 |
| G13000016182 | COASTAL SPINE & NEUROLOGY CENTERS | EXPIRED | 2013-02-15 | 2018-12-31 | - | 725 WEST GRANADA BLVD., SUITE 18-29, ORMOND BEACH, FL, 32174 |
| G13000006376 | COASTAL NEUROLOGY, PAIN AND REHABILIATION CENTERS | EXPIRED | 2013-01-18 | 2018-12-31 | - | 801 BEVILLE ROAD, 2UITE 101, SOUTH DAYTONA, FL, 32119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-06 | 725 W Granada Blvd, Suite 22, Ormond Beach, FL 32174 | - |
| REGISTERED AGENT NAME CHANGED | 2021-03-30 | Brown, Jeremy | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-30 | 725 W Granada Blvd, Suite 22, Ormond Beach, FL 32174 | - |
| AMENDMENT | 2018-10-23 | - | - |
| CHANGE OF MAILING ADDRESS | 2015-04-20 | 725 W Granada Blvd, Suite 22, Ormond Beach, FL 32174 | - |
| AMENDED AND RESTATEDARTICLES/NAME CHANGE | 2002-06-03 | COASTAL NEUROLOGY, INC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-04-06 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-04-24 |
| Amendment | 2018-10-23 |
| ANNUAL REPORT | 2018-04-24 |
| Reg. Agent Change | 2017-12-11 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3410847104 | 2020-04-11 | 0491 | PPP | 725 West Granada Boulevard 22, ORMOND BEACH, FL, 32174 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
