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BREVARD PULMONARY SPECIALISTS, P.A. - Florida Company Profile

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Company Details

Entity Name: BREVARD PULMONARY SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 20 Mar 1998 (27 years ago)
Date of dissolution: 27 Sep 2024 (10 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (10 months ago)
Document Number: P98000026186
FEI/EIN Number 593503155
Address: 103 LONGWOOD AVENUE, ROCKLEDGE, FL, 32955
Mail Address: 103 LONGWOOD AVENUE, ROCKLEDGE, FL, 32955
ZIP code: 32955
City: Rockledge
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BRODNAN JOHN M Director 103 LONGWOOD AVENUE, ROCKLEDGE, FL, 32955
aneja deepika D Director 103 LONGWOOD AVENUE, ROCKLEDGE, FL, 32955
FURMAN JAMIE V Director 103 LONGWOOD AVE, ROCKLEDGE, FL, 32955
BRODNAN JOHN M Agent 103 LONGWOOD AVE, ROCKLEDGE, FL, 32955

National Provider Identifier

NPI Number:
1649378498

Authorized Person:

Name:
MRS. CAROL SHEPARD
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No

Contacts:

Fax:
3216900071

Form 5500 Series

Employer Identification Number (EIN):
592846247
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
4
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
REGISTERED AGENT NAME CHANGED 2009-01-27 BRODNAN, JOHN M -
REGISTERED AGENT ADDRESS CHANGED 2009-01-27 103 LONGWOOD AVE, ROCKLEDGE, FL 32955 -

Documents

Name Date
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-02-04
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-02-05
ANNUAL REPORT 2017-03-20
ANNUAL REPORT 2016-02-02
ANNUAL REPORT 2015-01-11
ANNUAL REPORT 2014-01-28

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Date of last update: 02 Jul 2025

Sources: Florida Department of State