BASIL D FOSSUM MD PA is a business entity registered in the state of Florida. It can be found in the register by document number P20000031618. Incorporation date of the company is at 23 April, 2020 and its current status is ACTIVE. Principal address of this company is at 914 B MAR WALT DRIVE FORT WALTON BEACH, FL 32547.
| Company type | Florida Profit Corporation |
|---|---|
| Entity number | P20000031618 |
| FEI/EIN Number | 59-3014004 |
| Date Filled | Apr 23, 2020 |
| Effective Filled | Apr 20, 2020 |
| State | FL |
| Status | Active |
| Principal Address | 914 B Mar Walt Drive Fort Walton Beach, Fl 32547 |
| Mailing Address | 914 B Mar Walt Drive Fort Walton Beach, Fl 32547 |
| Registered Agent | Fossum, Basil D |
BASIL D FOSSUM MD PA is currently managed by 2 persons. Persons written in the register are FOSSUM, BASIL D, MD, with the seat at 914 B MAR WALT DRIVE FORT WALTON BEACH, FL 32547, AUFDERHEIDE, CHRISTINE, with the seat at 914 B MAR WALT DRIVE FORT WALTON BEACH, FL 32547.
| FOSSUM, BASIL D, MD | 914 B Mar Walt Drive Fort Walton Beach, Fl 32547 |
|---|---|
| AUFDERHEIDE, CHRISTINE | 914 B Mar Walt Drive Fort Walton Beach, Fl 32547 |
Data on flopendata.com website has informational character only and are taken from publicly available sources.