| Entity Name: | TALBERT GENERAL SURGERY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Jul 2018 (7 years ago) |
| Document Number: | M18000006180 |
| FEI/EIN Number | 824440277 |
| Address: | 129 W HIBISCUS BLVD, MELBOURNE, FL, 32901, US |
| Mail Address: | 129 W HIBISCUS BLVD, MELBOURNE, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | WYOMING |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275033284 | 2018-02-16 | 2019-01-10 | 129 W HIBISCUS BLVD STE D, MELBOURNE, FL, 329013006, US | 129 W HIBISCUS BLVD STE D, MELBOURNE, FL, 329013006, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 321-372-1372 |
| Fax | 3213699247 |
Authorized person
| Name | DR. MARK SHANE TALBERT |
| Role | OWNER |
| Phone | 3216260241 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | ME101090 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARROLL M. BRIAN | Agent | 3200 N Wickham Rd, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| TALBERT MARK | Member | 2760 N RIVERSIDE DR, INDIALANTIC, FL, 32903 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-05-15 | 3200 N Wickham Rd, Ste 4, MELBOURNE, FL 32935 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-26 | 129 W HIBISCUS BLVD, D, MELBOURNE, FL 32901 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-26 | 129 W HIBISCUS BLVD, D, MELBOURNE, FL 32901 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-15 |
| ANNUAL REPORT | 2019-04-26 |
| Foreign Limited | 2018-07-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
