| Entity Name: | BREVARD DERMPATH & SURGPATH LAB, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Aug 2006 (18 years ago) |
| Date of dissolution: | 28 May 2010 (15 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 May 2010 (15 years ago) |
| Document Number: | P06000107856 |
| FEI/EIN Number | 205468988 |
| Address: | 830 EXECUTIVE LANE, SUITE #150, ROCKLEDGE, FL, 32955 |
| Mail Address: | 480 SAIL LANE, APT. 701, MERRITT ISLAND, FL, 32953 |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942307178 | 2006-09-20 | 2008-06-10 | 2555 PONCE DE LEON BLVD, 4TH FLOOR, CORAL GABLES, FL, 331346010, US | 830 EXECUTIVE LN, SUITE #150, ROCKLEDGE, FL, 329553595, US | |||||||||||||||
|
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| Phone | +1 305-702-5135 |
| Fax | 3054412144 |
Authorized person
| Name | DR. SUMANT PANDYA |
| Role | PRESIDENT |
| Phone | 3057025135 |
Taxonomy
| Taxonomy Code | 207ZP0102X - Anatomic Pathology & Clinical Pathology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PANDYA SUMANT M | Agent | 480 SAIL LANE, MERRITT ISLAND, FL, 32953 |
| Name | Role | Address |
|---|---|---|
| PANDYA SUMANT J | President | 480 SAIL LANE APT. #701, MERRITT ISLAND, FL, 32953 |
| Name | Role | Address |
|---|---|---|
| PANDYA SUMANT J | Director | 480 SAIL LANE APT. #701, MERRITT ISLAND, FL, 32953 |
| NIME FREDA M | Director | 110 LONGWOOD AVENUE, ROCKLEDGE, FL, 32955 |
| Name | Role | Address |
|---|---|---|
| NIME FREDA M | Vice President | 110 LONGWOOD AVENUE, ROCKLEDGE, FL, 32955 |
| Name | Role | Address |
|---|---|---|
| BELL JULIE M | Secretary | 110 LONGWOOD AVE, ROCKLEDGE, FL, 32953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2010-05-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-10 | 830 EXECUTIVE LANE, SUITE #150, ROCKLEDGE, FL 32955 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-04-10 | PANDYA, SUMANT MD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-10 | 480 SAIL LANE, APT. 701, MERRITT ISLAND, FL 32953 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-16 | 830 EXECUTIVE LANE, SUITE #150, ROCKLEDGE, FL 32955 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2010-05-28 |
| ANNUAL REPORT | 2009-03-23 |
| ANNUAL REPORT | 2008-04-10 |
| ANNUAL REPORT | 2007-04-16 |
| Domestic Profit | 2006-08-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
