Search icon

MELBOURNE MEDICAL, L.L.C.

Company Details

Entity Name: MELBOURNE MEDICAL, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 04 Feb 2015 (10 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: L15000021117
Address: 757 YUKON STREET N.E., PALM BAY, FL, 32907
Mail Address: 757 YUKON STREET N.E., PALM BAY, FL, 32907
ZIP code: 32907
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366835795 2015-03-10 2015-03-10 1600 W EAU GALLIE BLVD, SUITE 102, MELBOURNE, FL, 329354149, US 1600 W EAU GALLIE BLVD, SUITE 102, MELBOURNE, FL, 329354149, US

Contacts

Phone +1 321-751-3862
Fax 3217513865

Authorized person

Name MR. BILL MERCER
Role OPERATION MANAGER
Phone 3217513862

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
DANIEL FARRIEN P Agent 757 YUKON STREET N.E., PALM BAY, FL, 32907

Manager

Name Role Address
ECKEL FERNANDA T Manager 757 YUKON STREET N.E., PALM BAY, FL, 32907

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000044447 NEW MELBOURNE HEALTH EXPIRED 2015-05-04 2020-12-31 No data 757 YUKON STREET, N.E., PALM BAY, FL, 32907

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J16000385025 LAPSED 05 2015 CA 050550 18TH JUD CIR. 2016-05-17 2021-06-24 $196,421.25 JMG PROPERTIES OF BREVARD, INC, 7940 S. TROPIAL TRAIL, MERRITT ISLAND, FLORIDA 32952

Documents

Name Date
Florida Limited Liability 2015-02-04

Date of last update: 02 Feb 2025

Sources: Florida Department of State