| Entity Name: | BREVARD FAMILY PHARMACY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Oct 2023 (a year ago) |
| Document Number: | P23000072167 |
| FEI/EIN Number | 93-3807419 |
| Address: | 2507 GARDEN ST, Titusville, FL, 32796, US |
| Mail Address: | 3413 S HOPKINS AVE, TITUSVILLE, FL, 32780 |
| ZIP code: | 32796 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396503744 | 2024-03-11 | 2024-03-11 | 3413 S HOPKINS AVE, TITUSVILLE, FL, 327805624, US | 2507 GARDEN ST, TITUSVILLE, FL, 327964612, US | |||||||||||||
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| Phone | +1 407-925-9433 |
Authorized person
| Name | RUSHABH PANCHAL |
| Role | OWNER/PIC |
| Phone | 4079259433 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | Yes |
| Name | Role |
|---|---|
| M-E ACCOUNTING & TAX SERVICES INC. | Agent |
| Name | Role | Address |
|---|---|---|
| IBRAHIM JAD | President | 1892 SYKES CREEK DR, MERRITT ISLAND, FL, 32953 |
| Name | Role | Address |
|---|---|---|
| PANCHAL RUSHABH | Manager | 905 TALON PLACE, WINTER SPRINGS, FL, 32708 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-16 | 2507 GARDEN ST, Titusville, FL 32796 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-16 |
| Domestic Profit | 2023-10-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
