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HERBERT E. BROOKS, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: HERBERT E. BROOKS, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 01 Sep 1980 (45 years ago)
Date of dissolution: 28 Sep 2012 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2012 (13 years ago)
Document Number: 681945
FEI/EIN Number 592021817
Address: 2126 HIGHWAY 173, BONIFAY, FL, 32425
Mail Address: P O BOX 699, BONIFAY, FL, 32425
ZIP code: 32425
City: Bonifay
County: Holmes
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BROOKS, HERBERT E. Agent 2126 HIGHWAY 173, BONIFAY, FL, 32425
BROOKS, HERBERT E. President 2126 HIGHWAY 173, BONIFAY, FL, 32425
BROOKS, HERBERT E. Director 2126 HIGHWAY 173, BONIFAY, FL, 32425
BROOKS, HERBERT E. Secretary 2126 HIGHWAY 173, BONIFAY, FL, 32425
BROOKS, HERBERT E. Treasurer 2126 HIGHWAY 173, BONIFAY, FL, 32425

National Provider Identifier

NPI Number:
1598091100

Authorized Person:

Name:
HERBERT EDWIN BROOKS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
173000000X - Legal Medicine
Is Primary:
Yes

Contacts:

Fax:
8505474511

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -
CHANGE OF PRINCIPAL ADDRESS 2010-04-26 2126 HIGHWAY 173, BONIFAY, FL 32425 -
CHANGE OF MAILING ADDRESS 2010-04-26 2126 HIGHWAY 173, BONIFAY, FL 32425 -
REGISTERED AGENT ADDRESS CHANGED 2010-04-26 2126 HIGHWAY 173, BONIFAY, FL 32425 -

Documents

Name Date
ANNUAL REPORT 2011-04-28
ANNUAL REPORT 2010-04-26
ANNUAL REPORT 2009-04-08
ANNUAL REPORT 2008-03-11
ANNUAL REPORT 2007-01-25
ANNUAL REPORT 2006-01-20
ANNUAL REPORT 2005-04-25
ANNUAL REPORT 2004-02-13
ANNUAL REPORT 2003-04-23
ANNUAL REPORT 2002-04-18

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Date of last update: 02 Aug 2025

Sources: Florida Department of State