| Entity Name: | BREVARD PHYSICIANS PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Apr 2010 (15 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P10000034325 |
| FEI/EIN Number | 272399646 |
| Mail Address: | 2070 US HWY 1 SUITE 103, ROCKLEDGE, FL, 32955, US |
| Address: | 7137 N US HWY 1, COCOA, FL, 32927, US |
| ZIP code: | 32927 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013234988 | 2010-04-30 | 2010-09-09 | 833 BARTON BLVD, ROCKLEDGE, FL, 329553127, US | 7137 N US HIGHWAY 1, COCOA, FL, 329275094, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 321-632-0552 |
| Fax | 3216321684 |
Authorized person
| Name | DR. VINAY KUMAR |
| Role | OFFICER |
| Phone | 3216320552 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME78264 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KUMAR VINAY | Agent | 2070 US HWY 1 SUITE 103, ROCKLEDGE, FL, 32955 |
| Name | Role | Address |
|---|---|---|
| KUMAR VINAY | Director | 145 SANDERLING RUN, MERRITT ISLAND, FL, 32952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-29 | 7137 N US HWY 1, COCOA, FL 32927 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-29 | 2070 US HWY 1 SUITE 103, ROCKLEDGE, FL 32955 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-01-25 | KUMAR, VINAY | No data |
| AMENDMENT | 2010-05-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-05-10 | 7137 N US HWY 1, COCOA, FL 32927 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-02-05 |
| ANNUAL REPORT | 2013-04-10 |
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-01-25 |
| Off/Dir Resignation | 2010-05-27 |
| Amendment | 2010-05-10 |
| Domestic Profit | 2010-04-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
