Entity Name: | BREVARD EMERGENCY SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 06 Mar 1984 (41 years ago) |
Document Number: | G88891 |
FEI/EIN Number | 000000000 |
Address: | % EDWARD J. SILBERHORN, ESQ., 1825 S. RIVERVIEW DR, MELBOURNE, FL, 32901 |
Mail Address: | % EDWARD J. SILBERHORN, ESQ., 1825 S. RIVERVIEW DR, MELBOURNE, FL, 32901 |
ZIP code: | 32901 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104870393 | 2006-05-20 | 2020-08-22 | 2080 W EAU GALLIE BLVD, SUITE A, MELBOURNE, FL, 329353185, US | 2080 W EAU GALLIE BLVD, SUITE A, MELBOURNE, FL, 329353185, US | |||||||||||||||||||
|
Phone | +1 321-254-6218 |
Fax | 3212546230 |
Authorized person
Name | DR. MICHAEL ALAN SHAPIRO |
Role | PRESIDENT |
Phone | 3212546218 |
Taxonomy
Taxonomy Code | 207P00000X - Emergency Medicine Physician |
Is Primary | No |
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | No |
Name | Role | Address |
---|---|---|
SILBERHORN, EDWARD J., ESQ. | Agent | 1825 S. RIVERVIEW DR, MELBOURNE, FL, 32901 |
Name | Role | Address |
---|---|---|
GETTINGS, D. SCOTT, M.D. | Director | 4690 BRENTWOOD DR, COCOA, FL |
Event Type | Filed Date | Value | Description |
---|---|---|---|
INVOLUNTARILY DISSOLVED | 1985-11-01 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State