| Entity Name: | SURGICAL ASSOCIATES OF BREVARD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 May 2009 (16 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: | L09000047294 |
| FEI/EIN Number | 270192478 |
| 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003144270 | 2009-11-30 | 2010-09-10 | 150 N SYKES CREEK PKWY, # 300, MERRITT ISLAND, FL, 329533488, US | 1004 BEVERLY DR, SUITE A, ROCKLEDGE, FL, 329552851, US | |||||||||||||||||||
|
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| Phone | +1 321-449-4168 |
| Fax | 3214494164 |
| Phone | +1 321-637-2150 |
| Fax | 3216372155 |
Authorized person
| Name | SANDI LAROCHE |
| Role | CREDENTIALING COORDINATOR |
| Phone | 3214494168 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| 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 300000128613 |
| 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, INC | 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 |
| FEI# | 2010-03-25 |
| Florida Limited Liability | 2009-05-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
