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BRODNAN MEDICAL LLC - Florida Company Profile

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Company Details

Entity Name: BRODNAN MEDICAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Oct 2022 (3 years ago)
Document Number: L22000449522
FEI/EIN Number 92-0781516
Address: 1531 N. INDIAN RIVER DRIVE, COCOA, FL, 32922, US
Mail Address: 1531 N. INDIAN RIVER DRIVE, COCOA, FL, 32922, US
ZIP code: 32922
City: Cocoa
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BRODNAN JOHN M Authorized Member 1531 N. INDIAN RIVER DRIVE, COCOA, FL, 32922
BRODNAN JOHN M Agent 1531 N. INDIAN RIVER DRIVE, COCOA, FL, 32922

National Provider Identifier

NPI Number:
1518682988
Certification Date:
2022-11-04

Authorized Person:

Name:
JOHN BRODNAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-02-02
Florida Limited Liability 2022-10-18

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Date of last update: 01 Jul 2025

Sources: Florida Department of State