| Entity Name: | GERALD J. BALSAM, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Oct 1980 (44 years ago) |
| Document Number: | 689678 |
| FEI/EIN Number | 592034146 |
| Address: | 736 N. MAGNOLIA AVE, ORLANDO, FL, 32803, US |
| Mail Address: | PO BOX 941305, MAITLAND, FL, 32794-1305, US |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| Balsam Gerald JDr. | Agent | 736 N. MAGNOLIA AVE, ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| BALSAM, GERALD J. | President | 736 N. MAGNOLIA AVE, ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| BALSAM, GERALD J. | Director | 736 N. MAGNOLIA AVE, ORLANDO, FL, 32803 |
| BALSAM, LENORE S. | Director | 736 N. MAGNOLIA AVE, ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| BALSAM, LENORE S. | Treasurer | 736 N. MAGNOLIA AVE, ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| BALSAM, LENORE S. | Secretary | 736 N. MAGNOLIA AVE, ORLANDO, FL, 32803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
