BASIL FOSSUM MD PA has been set up 1/1/2022 in state FL.
The current status of the business is Active. The BASIL FOSSUM MD PA principal address is 914 B MAR WALT DRIVE, FORT WALTON BEACH, 32547.
Meanwhile you can send your letters to 914 B MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547.
The company`s registered agent is FOSSUM BASIL 914 B MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547.
The company`s management are President - Fossum Basil.
Company number P21000104372
Status Active
FEI number
Company Type Domestic for Profit
Home State FL
Last activity date not available
Date Of Incorporation 1/1/2022
Principal Address
914 B MAR WALT DRIVE, FORT WALTON BEACH, 32547
Mailing Address 914 B MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547
BASIL FOSSUM MD PA Principals
Basil Fossum
President
Fossum Basil
Address
914 B MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547
Registered Agent
Agent Name FOSSUM BASIL (p)
Agent Address
914 B MAR WALT DRIVE, FORT WALTON BEACH, FL, 32547