| Entity Name: | DONALD A. BRUNGARD, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Jul 1973 (52 years ago) |
| Document Number: | 604522 |
| FEI/EIN Number | 591471451 |
| Address: | 1920 VERANO DR., SUITE 101, PO BOX 1687, HAINES CITY, FL, 33844, US |
| Mail Address: | 1920 VERANO DR., SUITE 101, PO BOX 1687, HAINES CITY, FL, 33845, US |
| ZIP code: | 33844 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BRUNGARD, DONALD A | Agent | 1920 VERANO DR, HAINES CITY, FL, 33844 |
| Name | Role | Address |
|---|---|---|
| BRUNGARD, DONALD A | President | 1920 VERANO DRIVE, SUITE 101, HAINES CITY, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
| NAME CHANGE AMENDMENT | 1985-07-12 | DONALD A. BRUNGARD, M.D., P.A. | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
