| Entity Name: | SPACECOAST FAMILY PRACTICE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Jul 2004 (21 years ago) |
| Date of dissolution: | 15 Sep 2006 (18 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 15 Sep 2006 (18 years ago) |
| Document Number: | L04000049526 |
| FEI/EIN Number | 201316844 |
| Address: | 805 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796 |
| Mail Address: | 805 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796 |
| ZIP code: | 32796 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BETKA CARLA J | Agent | 805 CENTURY MEDICAL DRIVE, TITUSVILLE, FL, 32796 |
| Name | Role | Address |
|---|---|---|
| BETKA TOM | Managing Member | 805 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL, 32796 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-03-24 | 805 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL 32796 | No data |
| CHANGE OF MAILING ADDRESS | 2005-03-24 | 805 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL 32796 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-03-24 | BETKA, CARLA J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-03-24 | 805 CENTURY MEDICAL DRIVE, SUITE A, TITUSVILLE, FL 32796 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2005-03-24 |
| Florida Limited Liability | 2004-07-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
