BASIL D. FOSSUM, M.D., P.A.
Inactive
Domestic Profit Corporation
Company Overview
BASIL D. FOSSUM, M.D., P.A. is a Florida-registered Domestic Profit Corporation that has been on file for 36 years. Its current status is Inactive. It is identified by file number L82812. The registered agent on file is Fossum, Basil D., M.D., P.A., located at 914 B Mar Walt Drive, Fort Walton Beach, FL, 32547. Its principal office is at 914 B Mar Walt Drive, Ft. Walton Beach, FL, 32547. There are 2 officers listed on file.
Filing Information
Status
Inactive
Entity Type
Domestic Profit Corporation
State Entity ID
L82812
Formation Date
06/22/1990
Formation State
FL
Addresses
Principal Address
914 B Mar Walt Drive, Ft. Walton Beach, FL, 32547
Registered Agent
Registered Agent Name
Fossum, Basil D., M.D., P.A.
Agent Address
914 B Mar Walt Drive, Fort Walton Beach, FL, 32547
Officers & Principals
| Name | Title | Address |
|---|---|---|
| Fossum, Basil D. M.D. | DR | 914-B Mar Walt Drive |
| Fossum Christine A | VP | 914-B Mar Walt Dr. |
Other Businesses Registered in Florida
Record last updated on July 4, 2026 at 10:00 PM EST
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