| Entity Name: | FAIRUZ MATUK, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Sep 1973 (51 years ago) |
| Document Number: | 604713 |
| FEI/EIN Number | 591485953 |
| Address: | 1004 BEVERLY DR, SUITE B, ROCKLEDGE, FL, 32955 |
| Mail Address: | 1004 BEVERLY DR, SUITE B, ROCKLEDGE, FL, 32955 |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| MATUK, FAIRUZ | Agent | 1004 BEVERLY DR, ROCKLEDGE, FL |
| Name | Role | Address |
|---|---|---|
| MATUK,FAIRUZ | Director | 210 FORREST HILL DR., COCOA, FL |
| NEWMAN, RICHARD | Director | 2076 S COURTENAY PKWY, MERRITT ISLAND, FL |
| Name | Role | Address |
|---|---|---|
| MATUK,FAIRUZ | President | 210 FORREST HILL DR., COCOA, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 1990-11-26 | No data | No data |
| NAME CHANGE AMENDMENT | 1986-04-15 | FAIRUZ MATUK, M.D., P.A. | No data |
| NAME CHANGE AMENDMENT | 1981-02-10 | MATUK & GRANT, M.D., P.A. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
