| Entity Name: | SARA S. TURSE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Nov 2011 (13 years ago) |
| Document Number: | P11000096290 |
| FEI/EIN Number | 453769277 |
| Address: | 200 MICHIGAN AVENUE, MELBOURNE, FL, 32901, US |
| Mail Address: | 200 MICHIGAN AVENUE, MELBOURNE, FL, 32901, US |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346518826 | 2011-12-12 | 2013-01-11 | 200 MICHIGAN AVE, MELBOURNE, FL, 329013100, US | 200 MICHIGAN AVE, MELBOURNE, FL, 329013100, US | |||||||||||||||||||||||||
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| Phone | +1 321-733-1111 |
| Fax | 3217331114 |
Authorized person
| Name | DR. SARA S TURSE |
| Role | PRESIDENT |
| Phone | 3217331111 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME54050 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI 1 |
| Number | 1972822559 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KANCILIA JOHN R | Agent | 2101 Waverly Place, MELBOURNE, FL, 32901 |
| Name | Role | Address |
|---|---|---|
| TURSE SARA S | Director | 200 MICHIGAN AVENUE, MELBOURNE, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-26 | 2101 Waverly Place, Suite 100, MELBOURNE, FL 32901 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
