| Entity Name: | ORVILLE E. BLANK, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Apr 1969 (56 years ago) |
| Document Number: | 600926 |
| FEI/EIN Number | 591235025 |
| Address: | 497 KEENAN AVENUE, FT. MYERS, FL, 33907 |
| Mail Address: | 497 KEENAN AVENUE, FT. MYERS, FL, 33907 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BLANK,ORVILLE E | Agent | 2150 W. FIRST STREET, FORT MYERS, FL, 33901 |
| Name | Role | Address |
|---|---|---|
| BLANK, ORVILLE E | President | 2150 W FIRST ST, FORT MYERS, FL 00000 |
| Name | Role | Address |
|---|---|---|
| BLANK, ORVILLE E | Director | 2150 W FIRST ST, FORT MYERS, FL 00000 |
| GRADDY, WILLIAM L | Director | 2100 SECOND ST, FORT MYERS, FL 00000 |
| Name | Role | Address |
|---|---|---|
| QUATTLEBAUM, VERA | Secretary | 2177 MARAVILLA LANE, FORT MYERS, FL 00000 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| INVOLUNTARILY DISSOLVED | 1986-11-14 | No data | No data |
| NAME CHANGE AMENDMENT | 1974-05-21 | ORVILLE E. BLANK, M.D., P.A. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
