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  5. SPACE COAST SURGERY CENTER, LLC

SPACE COAST SURGERY CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: SPACE COAST SURGERY CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SPACE COAST SURGERY CENTER, LLC 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
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: 20 Sep 2018 (7 years ago)
Last Event: CONVERSION
Event Date Filed: 20 Sep 2018 (7 years ago)
Document Number: L18000225304
FEI/EIN Number 263184352

Federal Employer Identification (FEI) Number assigned by the IRS.
Mail Address: 340 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027, US
Address: 595 NORTH COURTENAY PARKWAY, STE 103, MERRITT ISLAND, FL, 32953, US
ZIP code: 32953
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CORPORATION SERVICE COMPANY Agent -
BALDOCK JENNIFER Manager 340 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027
O'Brien Jeff Vice President 340 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027
Doherty Dave Vice President 340 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027
Kennedy Brett Vice President 340 SEVEN SPRINGS WAY, BRENTWOOD, TN, 37027

National Provider Identifier

NPI Number:
1164662912
Certification Date:
2022-11-01
Link:
View on NPI website

Authorized Person:

Name:
JENNIFER B BALDOCK
Role:
OFFICER AND AUTHORIZED OFFICIAL
Phone:
6152345954

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 813-890-1800
Phone:
+1 813-569-6500

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-12-03 595 NORTH COURTENAY PARKWAY, STE 103, MERRITT ISLAND, FL 32953 -
CHANGE OF MAILING ADDRESS 2023-04-24 595 NORTH COURTENAY PARKWAY, STE 103, MERRITT ISLAND, FL 32953 -
CONVERSION 2018-09-20 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS A08000000640. CONVERSION NUMBER 300000185633

Documents

Name Date
ANNUAL REPORT 2024-04-20
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-02-05
ANNUAL REPORT 2019-03-01
Florida Limited Liability 2018-09-20

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Date of last update: 02 Jun 2025

Sources: Florida Department of State

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