| Entity Name: | BREVARD HEALTH CENTER, PL |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BREVARD HEALTH CENTER, PL is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 16 Apr 2010 (15 years ago) |
| Document Number: | L10000041002 |
| FEI/EIN Number |
272435182
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 298 MICHIGAN AVENUE, MELBOURNE, FL, 32901, US |
| Mail Address: | 298 MICHIGAN AVENUE, MELBOURNE, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215254073 | 2010-05-03 | 2024-10-22 | 298 MICHIGAN AVE, SUITE 101, MELBOURNE, FL, 329013104, US | 298 MICHIGAN AVE, SUITE 101, MELBOURNE, FL, 329013104, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 321-215-6899 |
| Fax | 3212156789 |
Authorized person
| Name | APARNA BALAJI |
| Role | OPERATING OFFICER |
| Phone | 3212156899 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAIL ROAD MEDICARE |
| Number | 110199177 |
| State | FL |
| Issuer | MEDICAID |
| Number | 257850600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BALAJI GOBIVENKATA M | Managing Member | 298 MICHIGAN AVENUE, MELBOURNE, FL, 32901 |
| BALAJI GOBIVENKATA | Agent | 298 MICHIGAN AVENUE, MELBOURNE, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-01 | 298 MICHIGAN AVENUE, MELBOURNE, FL 32901 | - |
| CHANGE OF MAILING ADDRESS | 2012-04-01 | 298 MICHIGAN AVENUE, MELBOURNE, FL 32901 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-01 | 298 MICHIGAN AVENUE, MELBOURNE, FL 32901 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-03-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 9080577001 | 2020-04-09 | 0455 | PPP | 298 MICHIGAN AVE STE 101, MELBOURNE, FL, 32901-3104 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 01 Apr 2025
Sources: Florida Department of State
