| Entity Name: | SPACE COAST VASCULAR, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Aug 2005 (19 years ago) |
| Document Number: | P05000109400 |
| FEI/EIN Number | 203283057 |
| Address: | 655 S. Apollo Blvd., Melbourne, FL, 32901, US |
| Mail Address: | 655 S. Apoolo Blvd., Melbourne, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598938250 | 2008-04-02 | 2022-09-22 | 655 S APOLLO BLVD, MELBOURNE, FL, 329011485, US | 655 S APOLLO BLVD, MELBOURNE, FL, 329011485, US | |||||||||||||||
|
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| Phone | +1 321-751-2707 |
| Fax | 3212552361 |
Authorized person
| Name | PETER S DOVGAN |
| Role | PRESIDENT/CEO |
| Phone | 3217512707 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FALLACE JAMES H | Agent | 1900 S HICKORY STREET STE. A, MELBOURNE, FL, 32901 |
| Name | Role | Address |
|---|---|---|
| DOVGAN PETER M | President | 655 S. Apollo Blvd., Melbourne, FL, 32901 |
| Name | Role | Address |
|---|---|---|
| DOVGAN PETER M | Secretary | 655 S. Apollo Blvd., Melbourne, FL, 32901 |
| Name | Role | Address |
|---|---|---|
| DOVGAN PETER M | Treasurer | 655 S. Apollo Blvd., Melbourne, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-31 | 655 S. Apollo Blvd., Melbourne, FL 32901 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-31 | 655 S. Apollo Blvd., Melbourne, FL 32901 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-03-10 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-01-31 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-03-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
