| Entity Name: | MEDICAL ASSOCIATES OF BREVARD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Jul 2004 (21 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 03 May 2005 (20 years ago) |
| Document Number: | L04000054279 |
| FEI/EIN Number | 59-3360315 |
| Address: | 2200 WEST EAU GALLIE BLVD. #200, MELBOURNE, FL 32935 |
| Mail Address: | PO BOX 361095, MELBOURNE, FL 32936 |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDICAL ASSOCIATES OF BREVARD, LLC 401(K) PLAN | 2022 | 593360315 | 2023-10-13 | MEDICAL ASSOCIATES OF BREVARD, LLC | 288 | |||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||
| Active participants | 191 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 81 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 253 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3212532900 |
| Plan sponsor’s mailing address | P.O. BOX 361095, MELBOURNE, FL, 32936 |
| Plan sponsor’s address | 2200 W. EAU GALLIE BLVD, MELBOURNE, FL, 32935 |
Number of participants as of the end of the plan year
| Active participants | 196 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 75 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 249 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3212532900 |
| Plan sponsor’s mailing address | P.O. BOX 361095, MELBOURNE, FL, 32936 |
| Plan sponsor’s address | 2200 W. EAU GALLIE BLVD, MELBOURNE, FL, 32935 |
Number of participants as of the end of the plan year
| Active participants | 189 |
| Retired or separated participants receiving benefits | 93 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 282 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3212532900 |
| Plan sponsor’s mailing address | P.O. BOX 361095, MELBOURNE, FL, 32936 |
| Plan sponsor’s address | 2200 W. EAU GALLIE BLVD, MELBOURNE, FL, 32935 |
Number of participants as of the end of the plan year
| Active participants | 189 |
| Retired or separated participants receiving benefits | 93 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 282 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3212532900 |
| Plan sponsor’s mailing address | P.O. BOX 361095, MELBOURNE, FL, 32936 |
| Plan sponsor’s address | 2200 W. EAU GALLIE BLVD, MELBOURNE, FL, 32935 |
Number of participants as of the end of the plan year
| Active participants | 202 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 85 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 264 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3212532900 |
| Plan sponsor’s mailing address | P.O. BOX 361095, MELBOURNE, FL, 32936 |
| Plan sponsor’s address | 2200 W. EAU GALLIE BLVD, MELBOURNE, FL, 32935 |
Number of participants as of the end of the plan year
| Active participants | 232 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 79 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 277 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3212532900 |
| Plan sponsor’s mailing address | P.O. BOX 361095, MELBOURNE, FL, 32936 |
| Plan sponsor’s address | 2200 W. EAU GALLIE BLVD, MELBOURNE, FL, 32935 |
Number of participants as of the end of the plan year
| Active participants | 248 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 73 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 290 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3212532900 |
| Plan sponsor’s mailing address | P.O. BOX 361095, MELBOURNE, FL, 32936 |
| Plan sponsor’s address | 2200 W. EAU GALLIE BLVD, MELBOURNE, FL, 32935 |
Number of participants as of the end of the plan year
| Active participants | 261 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 60 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 294 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
| Name | Role | Address |
|---|---|---|
| KANCILIA, JOHN RESQ. | Agent | 2101 Waverly Place, Suite 100, Melbourne, FL 32901 |
| Name | Role | Address |
|---|---|---|
| BAKSHI, SHAKTI | Manager | 6550 WICKHAM RD, # 2, MELBOURNE, FL 32940 |
| GADODIA, GOPAL | Manager | 2200 W EAU GALLIE BLVD #200, MELBOURNE, FL 32935 |
| PINSKY, MARK | Manager | 8045 SPYGLASS HILL RD STE 101, MELBOURNE, FL 32940 |
| BANSAL, PARVESH | Manager | 1400 PINE STREET, MELBOURNE, FL 32901 |
| COHEN, DANIEL | Manager | 7730 N WICKHAM RD, SUITE 103 MELBOURNE, FL 32940 |
| DEL ROSARIO, LUIS | Manager | 1535 W. Nasa Blvd., Bldg C SUITE 103 MELBOURNE, FL 32901 |
| DESAI, RAJESH | Manager | 2290 W EAU GALLIE BLVD, SUITE 100 MELBOURNE, FL 32935 |
| DHRUV, NIKHITA | Manager | 2290 W EAU GALLIE BLVD, SUITE 100 MELBOURNE, FL 32935 |
| DOVGAN, PETER | Manager | 655 S APOLLO BLVD, SUITE 2 MELBOURNE, FL 32901 |
| GAYED, ESMAT | Manager | 3021 W EAU GALLIE BLVD, SUITE 101 MELBOURNE, FL 32934 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000007000 | BAYSIDE LAKES FAMILY CARE | ACTIVE | 2023-01-17 | 2028-12-31 | No data | 336 COGAN DRIVE SE, PALM BAY, FL, 32909 |
| G21000097732 | NASA PRIMARY CARE | ACTIVE | 2021-07-27 | 2026-12-31 | No data | 1555 W NASA BLVD, UNIT B1, MELBOURNE, FL, 32901 |
| G20000100019 | MELBOURNE ALLERGY & ASTHMA, P.A. | ACTIVE | 2020-08-07 | 2025-12-31 | No data | 3140 SUNTREE BLVD, SUITE 5, ROCKLEDGE, FL, 32955 |
| G16000087259 | SPACE COAST VASCULAR | ACTIVE | 2016-08-16 | 2026-12-31 | No data | PO BOX 361095, MELBOURNE, FL, 32936 |
| G16000079599 | VIERA PEDIATRICS | ACTIVE | 2016-08-03 | 2026-12-31 | No data | 8095 SPYGLASS HILL RD SUITE 104, MELBOURNE, FL, 32940 |
| G15000073874 | SPYGLASS PRIMARY CARE | ACTIVE | 2015-07-16 | 2025-12-31 | No data | 8057 SPYGLSS HILL ROAD, SUITE 104, MELBOURNE, FL, 32940 |
| G14000024363 | HANLEY SKIN CANCER CENTER | ACTIVE | 2014-03-10 | 2029-12-31 | No data | 2200 W. EAU GALLIE BLVD, STE 202B, MELBOURNE, FL, 32935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-02-17 | 2200 WEST EAU GALLIE BLVD. #200, MELBOURNE, FL 32935 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-17 | 2101 Waverly Place, Suite 100, Melbourne, FL 32901 | No data |
| MERGER | 2005-05-03 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000052349 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-02-17 |
| AMENDED ANNUAL REPORT | 2021-03-03 |
| ANNUAL REPORT | 2021-03-01 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-02-23 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
