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COAST MEDICAL SUPPLY, INC.

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Company Details

Name: COAST MEDICAL SUPPLY, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 04 May 1995 (30 years ago)
Business ID: 617416
ZIP code: 39501
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 4307 15th StreetGulfport, MS 39501

Agent

Name Role Address
RICHARD E MATTIACE Agent 951 HOWARD AVE, PO BOX 1093, BILOXI, MS 39533

Incorporator

Name Role Address
James T Mallette Incorporator 111 East Capitol Ste 600, Jackson, MS 39201

Director

Name Role Address
Richard E Mattiace Director PO Box1093, Biloxi, MS 39533
Richard E. Mattiace Director PO Box 1093, Biloxi, MS 39533

President

Name Role Address
Richard E Mattiace President PO Box1093, Biloxi, MS 39533

Secretary

Name Role Address
Richard E Mattiace Secretary PO Box1093, Biloxi, MS 39533

Treasurer

Name Role Address
Richard E Mattiace Treasurer PO Box1093, Biloxi, MS 39533

Vice President

Name Role Address
Richard E. Mattiace Vice President PO Box 1093, Biloxi, MS 39533

National Provider Identifier

NPI Number:
1265519649

Authorized Person:

Name:
MR. RICHARD E. MATTIACE
Role:
PRESIDENT/CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
2283740661

Filings

Type Status Filed Date Description
Dissolution Filed 2012-04-18 Dissolution
Annual Report Filed 2011-04-27 Annual Report
Annual Report Filed 2010-04-23 Annual Report
Annual Report Filed 2009-05-04 Annual Report
Annual Report Filed 2008-04-14 Annual Report
Annual Report Filed 2007-05-18 Annual Report
Annual Report Filed 2006-05-25 Annual Report
Annual Report Filed 2005-03-10 Annual Report
Annual Report Filed 2004-06-01 Annual Report
Annual Report Filed 2003-07-08 Annual Report

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Date of last update: 23 Apr 2025

Sources: Mississippi Secretary of State