| Entity Name: | SPACE COAST PSYCHIATRY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Sep 2013 (11 years ago) |
| Document Number: | P13000076333 |
| FEI/EIN Number | 46-3720824 |
| Address: | 465 Minutemen Causeway, COCOA BEACH, FL, 32931, US |
| Mail Address: | 485 Minutemen Cswy, Cocoa Beach, FL, 32931, US |
| ZIP code: | 32931 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912316886 | 2014-08-05 | 2014-08-05 | 503 N ORLANDO AVE, SUITE 201, COCOA BEACH, FL, 329313171, US | 503 N ORLANDO AVE, SUITE 201, COCOA BEACH, FL, 329313171, US | |||||||||||||||||||||||||
|
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| Phone | +1 321-613-5595 |
Authorized person
| Name | DR. JOSEPH F LLINAS |
| Role | PRESIDENT |
| Phone | 3216135595 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW5028 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| License Number | ME116732 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LLINAS JOSEPH DR. | Agent | 485 Minutemen Cswy, Cocoa Beach, FL, 32931 |
| Name | Role | Address |
|---|---|---|
| Llinas Joseph Dr. | President | 485 Minutemen Cswy, Cocoa Beach, FL, 32931 |
| Name | Role | Address |
|---|---|---|
| Llinas Terri | Vice President | 485 Minutemen Cswy, Cocoa Beach, FL, 32931 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-13 | 465 Minutemen Causeway, Suite 485, COCOA BEACH, FL 32931 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-13 | 465 Minutemen Causeway, Suite 485, COCOA BEACH, FL 32931 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-13 | LLINAS, JOSEPH, DR. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-13 | 485 Minutemen Cswy, Cocoa Beach, FL 32931 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-18 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-01-27 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-02-24 |
| ANNUAL REPORT | 2016-04-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
