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SPARTAN HEALTH ALLIANCE LLC - Florida Company Profile

Company Details

Entity Name: SPARTAN HEALTH ALLIANCE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SPARTAN HEALTH ALLIANCE 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: 30 Dec 2019 (5 years ago)
Document Number: L20000007490
FEI/EIN Number 84-4413521

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 3040 N. Wickham Rd, Suite 3, MELBOURNE, FL, 32955, US
Mail Address: 3040 N. Wickham Rd, Suite 3, MELBOURNE, FL, 32955, US
ZIP code: 32955
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497409767 2022-02-07 2023-08-21 3040 N WICKHAM RD STE 3, MELBOURNE, FL, 329352369, US 3040 N WICKHAM RD STE 3, MELBOURNE, FL, 329352369, US

Contacts

Phone +1 321-456-9653
Fax 3212049168

Authorized person

Name MR. HARRY W CARROLL IV
Role MGR
Phone 9542054551

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Key Officers & Management

Name Role Address
Carroll Harry W Manager 3040 N. Wickham Rd, Suite 3, Melbourne, FL, 32935
CARROLL HARRY Agent 3040 N. Wickham Rd, Suite 3, Melbourne, FL, 32935

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000005347 SUNTREE PSYCHIATRY ACTIVE 2022-01-14 2027-12-31 - 7145 TURNER RD., SUITE 102, ROCKLEDGE, FL, 32955

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-03-05 3040 N. Wickham Rd, Suite 3, Suite 3, Melbourne, FL 32935 -
CHANGE OF PRINCIPAL ADDRESS 2023-01-11 3040 N. Wickham Rd, Suite 3, MELBOURNE, FL 32955 -
CHANGE OF MAILING ADDRESS 2023-01-11 3040 N. Wickham Rd, Suite 3, MELBOURNE, FL 32955 -

Documents

Name Date
ANNUAL REPORT 2025-02-15
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-03-05
ANNUAL REPORT 2022-02-14
ANNUAL REPORT 2021-04-28
Florida Limited Liability 2019-12-30

Date of last update: 01 May 2025

Sources: Florida Department of State