Entity Name: | GI ASSOCIATES OF BREVARD, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 05 May 2008 (17 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: | L08000044753 |
FEI/EIN Number | 262450320 |
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 | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1922274398 | 2008-05-05 | 2009-04-07 | 150 N SYKES CREEK PKWY, #300, MERRITT ISLAND, FL, 329533488, US | 1004 BEVERLY DR, SUITE B, ROCKLEDGE, FL, 329552851, US | |||||||||||||||||||||
|
Phone | +1 321-449-4168 |
Fax | 3214494164 |
Phone | +1 321-637-7655 |
Authorized person
Name | SANDI LAROCHE |
Role | MSO CREDENTIALING COORDINATOR |
Phone | 3214494168 |
Taxonomy
Taxonomy Code | 207RG0100X - Gastroenterology Physician |
License Number | ME49690 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SCHF FAMILY PHYSICIANS, INC. | 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 |
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 |
CHANGE OF MAILING ADDRESS | 2011-04-09 | 1116 GEIGER STREET, ROCKLEDGE, FL 32955 | No data |
REINSTATEMENT | 2010-05-03 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2012-03-21 |
ANNUAL REPORT | 2011-04-09 |
Reinstatement | 2010-05-03 |
Florida Limited Liability | 2008-05-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State