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FAMILY MEDICAL CARE OF BREVARD, P.A. - Florida Company Profile

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Company Details

Entity Name: FAMILY MEDICAL CARE OF BREVARD, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 12 Jun 1969 (56 years ago)
Date of dissolution: 08 Jan 2007 (19 years ago)
Last Event: VOLUNTARY DISS W/ NOTICE
Event Date Filed: 08 Jan 2007 (19 years ago)
Document Number: 601083
FEI/EIN Number 591261626
Address: 375 S COURTENAY PKWY., STE. 7-B, MERRITT ISLAND, FL, 32952, US
Mail Address: 375 S COURTENAY PKWY., STE. 7-B, MERRITT ISLAND, FL, 32952, US
ZIP code: 32952
City: Merritt Island
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
UDELL ROBERT C Vice President 375 S. COURTNAY PKWY, STE 7-B, MERRITT ISLAND, FL, 32952
FLORESCU LUCIAN L Director 375 S COURTENAY PKWY., STE. 7-B, MERRITT ISLAND, FL, 32952
KNAPPMAN JOHN W President 375 S COURTENAY PKWY. ST.E 7-B, MERRITT ISLAND, FL, 32952
PENA RICARDO M Director 375 S COURTENAY PKWY. STE. 7-B, MERRITT ISLAND, FL, 32952
PAXSON ROBERT H Secretary 375 S COURTENAY PKWY. STE. 7-B, MERRITT ISLAND, FL, 32952
PAXSON ROBERT H Treasurer 375 S COURTENAY PKWY. STE. 7-B, MERRITT ISLAND, FL, 32952
MULET RAFAEL L Agent 375 S COURTENAY PKWY., MERRITT ISLAND, FL, 32952

National Provider Identifier

NPI Number:
1184954109

Authorized Person:

Name:
DR. HANY GUIRGUIS
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3216367285

Events

Event Type Filed Date Value Description
VOLUNTARY DISS W/ NOTICE 2007-01-08 - -
CHANGE OF PRINCIPAL ADDRESS 2006-01-16 375 S COURTENAY PKWY., STE. 7-B, MERRITT ISLAND, FL 32952 -
CHANGE OF MAILING ADDRESS 2006-01-16 375 S COURTENAY PKWY., STE. 7-B, MERRITT ISLAND, FL 32952 -
REGISTERED AGENT ADDRESS CHANGED 2004-03-15 375 S COURTENAY PKWY., STE. 7-B, MERRITT ISLAND, FL 32952 -
REGISTERED AGENT NAME CHANGED 2004-03-15 MULET, RAFAEL LCOO -
NAME CHANGE AMENDMENT 1996-05-08 FAMILY MEDICAL CARE OF BREVARD, P.A. -
NAME CHANGE AMENDMENT 1989-03-30 BREVARD MEDICAL GROUP, P.A. -
NAME CHANGE AMENDMENT 1985-03-13 BREVARD MEDICAL GROUP OF DRS. JENSEN, PINKOWSKI AND STRATTON, P.A. -

Documents

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

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Date of last update: 01 Aug 2025

Sources: Florida Department of State