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MELBOURNE MEDPSYCH, PLLC - Florida Company Profile

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Company Details

Entity Name: MELBOURNE MEDPSYCH, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

MELBOURNE MEDPSYCH, PLLC 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: 18 Jul 2022 (3 years ago)
Document Number: L22000317627
FEI/EIN Number 88-3351733

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

Address: 1915 OAK STREET, MELBOURNE, FL, 32901, US
Mail Address: 406 AVENUE B, MELBOURNE BEACH, FL, 32951, US
ZIP code: 32901
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHOWALTER GERALD R Manager 1915 OAK STREET, MELBOURNE, FL, 32901
SHOWALTER GERALD R Agent 406 AVENUE B, MELBOURNE, FL, 32951

National Provider Identifier

NPI Number:
1346977311
Certification Date:
2022-09-13

Authorized Person:

Name:
GERALD R SHOWALTER
Role:
MBR
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
103G00000X - Clinical Neuropsychologist
Is Primary:
Yes

Contacts:

Fax:
5409327611

Documents

Name Date
ANNUAL REPORT 2024-03-11
ANNUAL REPORT 2023-02-01
Florida Limited Liability 2022-07-18

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Date of last update: 03 Jun 2025

Sources: Florida Department of State