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ROBERT C. UDELL, DO, LLC

Company Details

Entity Name: ROBERT C. UDELL, DO, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 26 May 2006 (19 years ago)
Date of dissolution: 28 Sep 2012 (12 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 28 Sep 2012 (12 years ago)
Document Number: L06000054642
FEI/EIN Number 56-2586571
Address: 1116 GEIGER STREET, ROCKELDGE, FL 32955
Mail Address: 1116 GEIGER STREET, ROCKELDGE, FL 32955
ZIP code: 32955
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386688257 2006-06-15 2009-08-28 150 N SYKES CREEK PKWY, # 300, MERRITT ISLAND, FL, 329533488, US 1980 N ATLANTIC AVE, SUITE 1010, COCOA BEACH, FL, 329315213, US

Contacts

Phone +1 321-449-4168
Fax 3214494164
Phone +1 321-868-0360
Fax 3217994968

Authorized person

Name SANDI LAROCHE
Role MSO CREDENTIALING COORDINATOR
Phone 3214494168

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number OS7144
State FL
Is Primary Yes

Agent

Name Role Address
SCHF FAMILY PHYSICIANS INC Agent 1116 GEIGER STREET, ROCKLEDGE, FL 32955

Managing Member

Name Role Address
SCHF FAMILY PHYSICIANS INC Managing Member 1116 GEIGER STREET, ROCKLEDGE, FL 32955

Events

Event Type Filed Date Value Description
MERGER 2012-09-28 No data CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS N96000005184. MERGER NUMBER 300000125813
CHANGE OF PRINCIPAL ADDRESS 2011-04-09 1116 GEIGER STREET, ROCKELDGE, FL 32955 No data
CHANGE OF MAILING ADDRESS 2011-04-09 1116 GEIGER STREET, ROCKELDGE, FL 32955 No data
REGISTERED AGENT NAME CHANGED 2011-04-09 SCHF FAMILY PHYSICIANS INC No data
REGISTERED AGENT ADDRESS CHANGED 2011-04-09 1116 GEIGER STREET, ROCKLEDGE, FL 32955 No data

Documents

Name Date
ANNUAL REPORT 2012-03-21
ANNUAL REPORT 2011-04-09
ANNUAL REPORT 2010-04-21
ANNUAL REPORT 2009-12-07
ANNUAL REPORT 2009-04-06
ANNUAL REPORT 2008-01-14
ANNUAL REPORT 2007-06-18
Florida Limited Liability 2006-05-26

Date of last update: 28 Jan 2025

Sources: Florida Department of State