Detail by Officer/Registered Agent Name

Florida Profit Corporation

COASTAL PAIN MEDICINE, INC.

Filing Information
P17000088013 82-3276904 11/01/2017 10/31/2017 FL ACTIVE AMENDMENT 12/14/2017 NONE
Principal Address
100 EAST SAMPLE RD
SUITE 200
POMPANO BEACH, FL 33064
Mailing Address
100 EAST SAMPLE RD
SUITE 200
POMPANO BEACH, FL 33064

Changed: 03/17/2020
Registered Agent Name & Address KRUG, JONATHAN C
100 EAST SAMPLE RD
SUITE 200
POMPANO BEACH, FL 33064

Address Changed: 03/17/2020
Officer/Director Detail Name & Address

Title D

KRUG, JONATHAN COIT
100 EAST SAMPLE RD
#200
POMPANO BEACH, FL 33064

Title D

LONGOBARDI, MONICA
19538 BLACK OLIVE LANE
BOCA RATON, FL 33498

Annual Reports
Report YearFiled Date
2021 01/27/2021
2022 01/31/2022
2023 01/23/2023