| Name: | SOUTH COAST PHYSICAL MEDICINE, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 02 Sep 2011 (13 years ago) |
| Entity Number: | 4138217 |
| ZIP code: | 11787 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 1 EDGEWOOD AVENUE, STE 100, SMITHTOWN, NY, United States, 11787 |
| Principal Address: | 1 EDGEWOOD AVE, STE 100, SMITHTOWN, NY, United States, 11787 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| MIGUEL VARGAS MD | Chief Executive Officer | 1801 BRENTWOOD RD, BRENTWOOD, NY, United States, 11717 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 1 EDGEWOOD AVENUE, STE 100, SMITHTOWN, NY, United States, 11787 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2011-09-02 | 2013-01-15 | Address | 2071 OLIVER WAY, MERRICK, NY, 11566, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 131114002220 | 2013-11-14 | BIENNIAL STATEMENT | 2013-09-01 |
| 130115000100 | 2013-01-15 | CERTIFICATE OF CHANGE | 2013-01-15 |
| 110902000753 | 2011-09-02 | CERTIFICATE OF INCORPORATION | 2011-09-02 |
Date of last update: 16 Jan 2025
Sources: New York Secretary of State
