| Entity Name: | WILLIAM J. BROUSSARD, M.D., PHILLIP B. KIRK, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 May 1972 (53 years ago) |
| Document Number: | 603547 |
| FEI/EIN Number | 000000000 |
| Address: | 2707 EAST COMMERCIAL BLVD., FT. LAUDERDALE, FL |
| Mail Address: | 2707 EAST COMMERCIAL BLVD., FT. LAUDERDALE, FL |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BIRD, RICHARD A. | Agent | 2707 EAST COMMERCIAL BLDG., FT. LAUDERDALE, FL |
| Name | Role | Address |
|---|---|---|
| CARPENTER, DANIEL T. | President | 620 NW 19TH ST., FT. LAUDERDALE, FL |
| Name | Role | Address |
|---|---|---|
| BIRD, RICHARD A. | Secretary | 3682 NW 52ND ST., FT. LAUDERDALE, FL |
| Name | Role | Address |
|---|---|---|
| BIRD, RICHARD A. | Treasurer | 3682 NW 52ND ST., FT. LAUDERDALE, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| INVOLUNTARILY DISSOLVED | 1987-11-16 | No data | No data |
| NAME CHANGE AMENDMENT | 1974-04-10 | WILLIAM J. BROUSSARD, M.D., PHILLIP B. KIRK, M.D., P.A. | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
