| Entity Name: | SPACE COAST OPHTHALMOLOGY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Oct 2016 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Dec 2023 (a year ago) |
| Document Number: | L16000198893 |
| FEI/EIN Number | 81-4223775 |
| Address: | 1832 GARDEN STREET, TITUSVILLE, FL 32796 |
| Mail Address: | 1832 GARDEN STREET, TITUSVILLE, FL 32796 |
| ZIP code: | 32796 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962954107 | 2016-11-03 | 2017-03-13 | 1832 GARDEN ST, TITUSVILLE, FL, 327963200, US | 1832 GARDEN ST, TITUSVILLE, FL, 327963200, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 321-267-0008 |
| Phone | +1 321-433-2310 |
Authorized person
| Name | NICHOLAS PEFKAROS |
| Role | PRESIDENT |
| Phone | 3212670008 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THALWITZER, AARON | Agent | 257 N Orlando Ave, Cocoa Beach, FL 32931 |
| Name | Role | Address |
|---|---|---|
| PEFKAROS, NICHOLAS, DR | Manager | 1832 GARDEN STREET, TITUSVILLE, FL 32796 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-12-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-12-06 | THALWITZER, AARON | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-08-21 | 257 N Orlando Ave, Cocoa Beach, FL 32931 | No data |
| LC AMENDMENT | 2016-11-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| REINSTATEMENT | 2023-12-06 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-08-21 |
| ANNUAL REPORT | 2017-04-29 |
| LC Amendment | 2016-11-16 |
| Florida Limited Liability | 2016-10-27 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
