| Entity Name: | FAMILY MEDICAL CARE OF BREVARD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 12 Jun 1969 (56 years ago) |
| Date of dissolution: | 08 Jan 2007 (18 years ago) |
| Last Event: | VOLUNTARY DISS W/ NOTICE |
| Event Date Filed: | 08 Jan 2007 (18 years ago) |
| Document Number: | 601083 |
| FEI/EIN Number | 59-1261626 |
| Address: | 375 S COURTENAY PKWY., STE. 7-B, MERRITT ISLAND, FL 32952 |
| Mail Address: | 375 S COURTENAY PKWY., STE. 7-B, MERRITT ISLAND, FL 32952 |
| ZIP code: | 32952 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184954109 | 2010-01-14 | 2010-05-17 | 1317 W POINT DR, COCOA, FL, 329226464, US | 1317 W POINT DR, COCOA, FL, 329226464, US | |||||||||||||||||||
|
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| Phone | +1 321-636-2621 |
| Fax | 3216367285 |
Authorized person
| Name | DR. HANY GUIRGUIS |
| Role | PARTNER |
| Phone | 3216362621 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 88173 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MULET, RAFAEL LCOO | Agent | 375 S COURTENAY PKWY., STE. 7-B, MERRITT ISLAND, FL 32952 |
| Name | Role | Address |
|---|---|---|
| UDELL, ROBERT CD.O. | Vice President | 375 S. COURTNAY PKWY, STE 7-B, MERRITT ISLAND, FL 32952 |
| Name | Role | Address |
|---|---|---|
| FLORESCU, LUCIAN LM.D. | Director | 375 S COURTENAY PKWY., STE. 7-B, MERRITT ISLAND, FL 32952 |
| PENA, RICARDO M.D. | Director | 375 S COURTENAY PKWY. STE. 7-B, MERRITT ISLAND, FL 32952 |
| Name | Role | Address |
|---|---|---|
| KNAPPMAN, JOHN WM.D. | President | 375 S COURTENAY PKWY. ST.E 7-B, MERRITT ISLAND, FL 32952 |
| Name | Role | Address |
|---|---|---|
| PAXSON, ROBERT HM.D. | Secretary | 375 S COURTENAY PKWY. STE. 7-B, MERRITT ISLAND, FL 32952 |
| Name | Role | Address |
|---|---|---|
| PAXSON, ROBERT HM.D. | Treasurer | 375 S COURTENAY PKWY. STE. 7-B, MERRITT ISLAND, FL 32952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2007-01-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-16 | 375 S COURTENAY PKWY., STE. 7-B, MERRITT ISLAND, FL 32952 | No data |
| CHANGE OF MAILING ADDRESS | 2006-01-16 | 375 S COURTENAY PKWY., STE. 7-B, MERRITT ISLAND, FL 32952 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-03-15 | 375 S COURTENAY PKWY., STE. 7-B, MERRITT ISLAND, FL 32952 | No data |
| REGISTERED AGENT NAME CHANGED | 2004-03-15 | MULET, RAFAEL LCOO | No data |
| NAME CHANGE AMENDMENT | 1996-05-08 | FAMILY MEDICAL CARE OF BREVARD, P.A. | No data |
| NAME CHANGE AMENDMENT | 1989-03-30 | BREVARD MEDICAL GROUP, P.A. | No data |
| NAME CHANGE AMENDMENT | 1985-03-13 | BREVARD MEDICAL GROUP OF DRS. JENSEN, PINKOWSKI AND STRATTON, P.A. | No data |
| Name | Date |
|---|---|
| CORAPVDWN | 2007-01-08 |
| ANNUAL REPORT | 2006-01-16 |
| ANNUAL REPORT | 2005-02-02 |
| ANNUAL REPORT | 2004-03-15 |
| ANNUAL REPORT | 2003-01-14 |
| ANNUAL REPORT | 2002-03-07 |
| ANNUAL REPORT | 2001-02-12 |
| ANNUAL REPORT | 2000-01-28 |
| ANNUAL REPORT | 1999-06-09 |
| ANNUAL REPORT | 1998-04-03 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
