| Entity Name: | MICHAEL DEFAZIO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Sep 2021 (3 years ago) |
| Document Number: | P21000078364 |
| FEI/EIN Number | 87-2510168 |
| Address: | 14546 OLD ST AUGUSTINE RD STE 407, JACKSONVILLE, FL, 32258 |
| Mail Address: | 14546 OLD ST AUGUSTINE RD STE 407, JACKSONVILLE, FL, 32258 |
| ZIP code: | 32258 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| DEFAZIO MD MICHAEL | Agent | 14546 OLD ST AUGUSTINE RD STE 407, JACKSONVILLE, FL, 32258 |
| Name | Role | Address |
|---|---|---|
| DEFAZIO MD MICHAEL | President | 14546 OLD ST AUGUSTINE RD STE 407, JACKSONVILLE, FL, 32258 |
| Name | Role | Address |
|---|---|---|
| DEFAZIO MD MICHAEL | Director | 14546 OLD ST AUGUSTINE RD STE 407, JACKSONVILLE, FL, 32258 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-04-11 |
| Domestic Profit | 2021-09-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
