| Entity Name: | KENNETH BLAZE, D.O., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Aug 1981 (43 years ago) |
| Document Number: | 698672 |
| FEI/EIN Number | 592110930 |
| Mail Address: | 1613 NORTH HARRISON PARKWAY, SUITE 200, SUNRISE, FL, 33323 |
| Address: | 1 SW 129TH AVENUE, SUITE 109, PEMBROKE PINES, FL, 33027 |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| MARTUS JAY A | Agent | 1613 NORTH HARRISON PARKWAY, SUITE 200, SUNRISE, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| BLAZE KENNETH | President | 1 SW 129TH AVE SUITE 109, PEMBROKE PINES, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| BLAZE KENNETH | Director | 1 SW 129TH AVE SUITE 109, PEMBROKE PINES, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2002-10-04 | No data | No data |
| REINSTATEMENT | 1998-06-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1997-09-26 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
