| Entity Name: | SPACE COAST EMERGENCY PHYSICIANS, PLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Feb 2005 (20 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L05000017493 |
| FEI/EIN Number | 202370070 |
| Address: | 701 W. COCOA BEACH CAUSEWAY, COCOA BEACH,, FL, 32931, US |
| Mail Address: | Viera Hospital Emergency, 8745 N Wickham RD, melbourne, FL, 32940, US |
| ZIP code: | 32931 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508851569 | 2005-09-15 | 2020-08-22 | PO BOX 918994, ORLANDO, FL, 328918994, US | 701 W COCOA BEACH CSWY, COCOA BEACH, FL, 329313585, US | |||||||||||||||||||||||||
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| Phone | +1 321-799-7111 |
Authorized person
| Name | DR. MICHAEL MCGOOHAN |
| Role | PRESIDENT |
| Phone | 8663966416 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS GROUP |
| Number | 94825 |
| State | FL |
| Issuer | RR MCR GROUP |
| Number | DD1357 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WALKER GEORGE H | Agent | Viera Hospital Emergency, melbourne, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| MCGOOHAN MICHAEL P | Treasurer | 424 LANTERNBACK ISLAND DR, SATELLITE BEACH, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| WALKER GEORGE | Manager | 407 Buchanan Ave, Cape Canaveral, FL, 32920 |
| Name | Role | Address |
|---|---|---|
| CHAO MAURICE | Secretary | 2549 ROX SPRING DR, ORLANDO, FL, 32325 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-11 | 701 W. COCOA BEACH CAUSEWAY, COCOA BEACH,, FL 32931 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-11 | Viera Hospital Emergency, 8745 N Wickham RD, melbourne, FL 32940 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-07-01 | WALKER, GEORGE HMD | No data |
| REINSTATEMENT | 2007-03-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-02-14 |
| ANNUAL REPORT | 2014-03-11 |
| ANNUAL REPORT | 2013-02-05 |
| ANNUAL REPORT | 2012-01-06 |
| ANNUAL REPORT | 2011-02-09 |
| ANNUAL REPORT | 2010-03-08 |
| ANNUAL REPORT | 2009-07-01 |
| ANNUAL REPORT | 2008-04-18 |
| REINSTATEMENT | 2007-03-22 |
| Florida Limited Liability | 2005-02-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
