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 | |||||||||||||
|
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