BASIL D. FOSSUM, M.D., P.A. has been set up 6/22/1990 in state FL.
The current status of the business is Inactive. The BASIL D. FOSSUM, M.D., P.A. principal address is 914 B MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547.
Meanwhile you can send your letters to 914 B MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547.
The company`s registered agent is FOSSUM, BASIL D., M.D., P.A. 914 B MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547.
The company`s management are Director, R - Fossum Basil D M D, Vice President, President - Fossum Christine A. The last significant event in the company history is ADMIN DISSOLUTION FOR ANNUAL REPORT which is dated by 9/23/2011. This decision is take in action on unknown. The company annual reports filed on Annual reports – 4/15/2010.
Company number L82812
Status Inactive
FEI number 593014004
Company Type Domestic for Profit
Home State FL
Last activity date 9/23/2011
Date Of Incorporation 6/22/1990
Principal Address
914 B MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547
Mailing Address 914 B MAR WALT DRIVE, FT. WALTON BEACH, FL, 32547
BASIL D. FOSSUM, M.D., P.A. Principals
Fossum Basil D M D
Director, R
Fossum Basil D M D
Address
914-B MAR WALT DRIVE, FORT WALTON BCH, FL
Christine A Fossum
Vice President, President
Fossum Christine A
Address
914-B MAR WALT DR., FT. WALTON BEACH, FL, 32547
Last Annual Reports
2010 4/15/2010
2010 4/15/2010
2009 3/27/2009
Registered Agent
Agent Name FOSSUM, BASIL D., M.D., P.A. (c)
Agent Address
914 B MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547
BASIL D. FOSSUM, M.D., P.A. Events
9/14/2007 ADMIN DISSOLUTION FOR ANNUAL REPORT
8/7/2008 REINSTATEMENT
9/23/2011 ADMIN DISSOLUTION FOR ANNUAL REPORT
Florida