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AVROHM W. FABER, M.D., P.A.

Company Details

Entity Name: AVROHM W. FABER, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 01 Mar 1980 (45 years ago)
Date of dissolution: 19 Feb 2014 (11 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 19 Feb 2014 (11 years ago)
Document Number: 658540
FEI/EIN Number 59-1974602
Address: 448 Quay Assisi, NEW SMYRNA BCH, FL 32169
Mail Address: 448 Quay Assisi, NEW SMYRNA BCH, FL 32169
ZIP code: 32169
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144399817 2006-11-07 2008-02-13 406B PALMETTO ST, NEW SMYRNA BEACH, FL, 321687323, US 406B PALMETTO ST, NEW SMYRNA BEACH, FL, 321687323, US

Contacts

Phone +1 386-427-6791
Fax 3864278028

Authorized person

Name DR. AVROHM WILLIAM FABER
Role PRESIDENT
Phone 3864276791

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
License Number ME0026490
State FL
Is Primary Yes

Agent

Name Role Address
FABER, AVROHM W Agent 448 Quay Assisi, NEW SMYRNA BEACH, FL 32169

President

Name Role Address
FABER, AVROHM W President 448 Quay Assisi, NEW SMYRNA BEACH, FL 32169

Director

Name Role Address
FABER, AVROHM W Director 448 Quay Assisi, NEW SMYRNA BEACH, FL 32169

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2014-02-19 No data No data
CHANGE OF PRINCIPAL ADDRESS 2013-03-05 448 Quay Assisi, NEW SMYRNA BCH, FL 32169 No data
CHANGE OF MAILING ADDRESS 2013-03-05 448 Quay Assisi, NEW SMYRNA BCH, FL 32169 No data
REGISTERED AGENT ADDRESS CHANGED 2013-03-05 448 Quay Assisi, NEW SMYRNA BEACH, FL 32169 No data

Documents

Name Date
ANNUAL REPORT 2013-03-05
ANNUAL REPORT 2012-01-31
ANNUAL REPORT 2011-03-31
ANNUAL REPORT 2010-01-25
ANNUAL REPORT 2009-03-09
ANNUAL REPORT 2008-04-17
ANNUAL REPORT 2007-04-16
ANNUAL REPORT 2006-03-17
ANNUAL REPORT 2005-04-16
ANNUAL REPORT 2004-04-22

Date of last update: 05 Feb 2025

Sources: Florida Department of State