| Entity Name: | MELBOURNE PHARMA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Dec 2023 (a year ago) |
| Document Number: | L24000003173 |
| FEI/EIN Number | 99-0645468 |
| Address: | 3094 SE Quanset Circle, Stuart, FL 34997 |
| Mail Address: | 3094 SE Quanset Circle, Stuart, FL 34997 |
| ZIP code: | 34997 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255153292 | 2024-10-30 | 2024-10-30 | 2235 S BABCOCK ST, MELBOURNE, FL, 329015305, US | 2235 S BABCOCK ST, MELBOURNE, FL, 329015305, US | |||||||||||||
|
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| Phone | +1 321-423-6200 |
Authorized person
| Name | MR. MICHAEL BOEHMER |
| Role | PRESIDENT |
| Phone | 3214236200 |
Taxonomy
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MITCHELL, KATHLEEN E | Agent | 3094 SE Quanset Circle, Stuart, FL 34997 |
| Name | Role |
|---|---|
| KCMM PHARMACEUTICALS, INC. | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-30 | 3094 SE Quanset Circle, Stuart, FL 34997 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-30 | 3094 SE Quanset Circle, Stuart, FL 34997 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-30 | 3094 SE Quanset Circle, Stuart, FL 34997 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-30 |
| Florida Limited Liability | 2023-12-26 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
