| Entity Name: | UNIVERSITY CENTER MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 May 2013 (12 years ago) |
| Document Number: | L13000071971 |
| FEI/EIN Number | 46-2789854 |
| Address: | 1800 WEST HIBISCUS BOULEVARD, SUITE 100, MELBOURNE, FL, 32901, US |
| Mail Address: | 1800 WEST HIBISCUS BOULEVARD, SUITE 100, MELBOURNE, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871158113 | 2019-05-02 | 2021-02-12 | 1800 W HIBISCUS BLVD STE 101, MELBOURNE, FL, 329012624, US | 1800 W HIBISCUS BLVD STE 101, MELBOURNE, FL, 329012624, US | |||||||||||||||
|
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| Phone | +1 321-726-1614 |
| Fax | 3217261611 |
Authorized person
| Name | MRS. JULIE SHAW |
| Role | DIRECTOR OF PHARMACY |
| Phone | 3217261614 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRIGHT FRANK | Agent | 1800 WEST HIBISCUS BOULEVARD, MELBOURNE, FL, 32901 |
| Name | Role | Address |
|---|---|---|
| BRIGHT FRANK | Manager | 1800 WEST HIBISCUS BOULEVARD, SUITE 100, MELBOURNE, FL, 32901 |
| YAGHMAI SIAMAK | Manager | 1800 WEST HIBISCUS BOULEVARD, SUITE 100, MELBOURNE, FL, 32901 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000001804 | L3HARRIS FAMILY MEDICAL CENTER | ACTIVE | 2020-01-06 | 2025-12-31 | No data | 1800 WEST HIBISCUS BLVD SUITE 100, MELBOURNE, FL, 32901 |
| G17000121278 | HARRIS FAMILY MEDICAL CENTER | EXPIRED | 2017-11-03 | 2022-12-31 | No data | 1800 W. HIBISCUS BLVD, SUITE 100, MELBOURNE, FL, 32901 |
| G13000048418 | UNIVERSITY CENTER MEDICAL | ACTIVE | 2013-05-22 | 2028-12-31 | No data | 1800 WEST HIBISCUS BOULEVARD, SUITE 100, MELBOURNE, FL, 32901 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-17 |
| ANNUAL REPORT | 2015-01-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
