| Entity Name: | SPACE COAST PODIATRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SPACE COAST PODIATRY, 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: | 25 Jan 2024 (a year ago) |
| Document Number: | L24000047058 |
| Address: | 2962 PEBBLE CREEK STREET, MELBOURNE, FL, 32935, UN |
| Mail Address: | 2962 PEBBLE CREEK STREET, MELBOURNE, FL, 32935, UN |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740037597 | 2024-04-30 | 2024-09-09 | 6100 MINTON RD NW STE 101, PALM BAY, FL, 329071900, US | 6100 MINTON RD NW STE 101, PALM BAY, FL, 329071900, US | |||||||||||||
|
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| Phone | +1 321-802-4075 |
Authorized person
| Name | DR. MARK ALLEN VAUGHN |
| Role | CEO/PHYSICIAN |
| Phone | 3218024075 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VAUGHN MARK | Manager | 2962 PEBBLE CREEK STREET, MELBOURNE, FL, 32935 |
| VAUGHN RAYCHEL L | Manager | 2962 PEBBLE CREEK STREET, MELBOURNE, FL, 32935 |
| VAUGHN MARK | Agent | 2962 PEBBLE CREEK STREET, MELBOURNE, FL, 32935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-02-03 | 6100 Minton Road, 6100 Minton Road, FL 32907 | - |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-25 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
