| Entity Name: | SPACE COAST MEDICINE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SPACE COAST MEDICINE 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. |
| 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: | 22 Jul 2022 (3 years ago) |
| Document Number: | L22000325079 |
| FEI/EIN Number |
88-4156528
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 310 AVENUE A, MELBOURNE BEACH, FL, 32951, UN |
| Mail Address: | 310 AVENUE A, MELBOURNE BEACH, FL, 32951, UN |
| ZIP code: | 32951 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245931419 | 2023-03-15 | 2023-03-15 | PO BOX 510195, MELBOURNE BEACH, FL, 329510195, US | 310 AVENUE A, MELBOURNE BEACH, FL, 329512201, US | |||||||||||||
|
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| Phone | +1 850-544-0142 |
Authorized person
| Name | ANTHONY HERZOG |
| Role | MD |
| Phone | 8505440142 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERZOG STEPHANIE | Manager | 310 AVENUE A, MELBOURNE BEACH, FL, 32951 |
| HERZOG ANTHONY | Agent | 310 AVENUE A, MELBOURNE BEACH, FL, 32951 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-02-02 |
| Florida Limited Liability | 2022-07-22 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
