| Entity Name: | SPACE COAST ENDOCRINOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 16 Jan 2007 (18 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: | L07000005164 |
| FEI/EIN Number | 20-8233713 |
| Address: | 1116 GEIGER STREET, ROCKLEDGE, FL 32955 |
| Mail Address: | 1116 GEIGER STREET, ROCKLEDGE, FL 32955 |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376682559 | 2007-02-05 | 2010-04-28 | 150 N SYKES CREEK PKWY, SUITE 300, MERRITT ISLAND, FL, 329533488, US | 835 EXECUTIVE LN, SUITE 110, ROCKLEDGE, FL, 329558068, US | |||||||||||||||||||
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| Phone | +1 321-449-4168 |
| Fax | 3214494164 |
| Phone | +1 321-638-2075 |
| Fax | 3216382234 |
Authorized person
| Name | SANDI LAROCHE |
| Role | MSO CREDENTIALING COORDINATOR |
| Phone | 3214494168 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SCHF FAMILY PHYSICIANS | Agent | 1116 GEIGER STREET, ROCKLEDGE, FL 32955 |
| Name | Role | Address |
|---|---|---|
| SCHF FAMILY PHYSICIANS, INC. | Managing Member | 1116 GEIGER STREET, ROCKLEDGE, FL 32955 |
| 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, ROCKLEDGE, FL 32955 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-09 | 1116 GEIGER STREET, ROCKLEDGE, FL 32955 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-09 | SCHF FAMILY PHYSICIANS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-09 | 1116 GEIGER STREET, ROCKLEDGE, FL 32955 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-03-21 |
| ANNUAL REPORT | 2011-04-09 |
| ANNUAL REPORT | 2010-04-21 |
| ANNUAL REPORT | 2009-04-23 |
| ANNUAL REPORT | 2008-09-03 |
| Florida Limited Liability | 2007-01-16 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
