| Entity Name: | SPACE COAST HEALTH CARE NETWORK, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Aug 2017 (7 years ago) |
| Document Number: | L17000175026 |
| FEI/EIN Number | 82-3122819 |
| Address: | 1344 S. APOLLO BOULEVARD, SUITE 303, MELBOURNE, FL, 32901, US |
| Mail Address: | 1344 S. APOLLO BOULEVARD, SUITE 303, MELBOURNE, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558836361 | 2018-10-08 | 2018-10-08 | 1344 S APOLLO BLVD STE 303, MELBOURNE, FL, 329013185, US | 1344 S APOLLO BLVD STE 303, MELBOURNE, FL, 329013185, US | |||||||||||||||
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| Phone | +1 321-727-2990 |
| Fax | 3217240455 |
Authorized person
| Name | MR. CRAIG DELIGDISH |
| Role | BOARD MEMBER |
| Phone | 3217272990 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KANCILIA JOHN R | Agent | 2101 S. Waverly Pl, MELBOURNE, FL, 32901 |
| Name | Role | Address |
|---|---|---|
| DELIGDISH CRAIG K | Manager | 1344 S. APOLLO BOULEVARD, MELBOURNE, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-06 | 2101 S. Waverly Pl, Suite 100, MELBOURNE, FL 32901 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-05-18 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-16 |
| Florida Limited Liability | 2017-08-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
