BASIL FOSSUM MD PA
Active
Domestic Profit Corporation
Company Overview
BASIL FOSSUM MD PA is a Domestic Profit Corporation registered in the state of Florida. The business was filed on 12/14/2021 and is currently listed as Active. The official file number for this entity is P21000104372. The registered agent on file is Fossum Basil, located at 914 B Mar Walt Drive, Fort Walton Beach, FL, 32547. The principal office address is located at 914 B Mar Walt Drive, Fort Walton Beach, FL, 32547.
Filing Information
Status
Active
Entity Type
Domestic Profit Corporation
State Entity ID
P21000104372
Formation Date
12/14/2021
Formation State
FL
Addresses
Principal Address
914 B Mar Walt Drive, Fort Walton Beach, FL, 32547
Registered Agent
Registered Agent Name
Fossum Basil
Agent Address
914 B Mar Walt Drive, Fort Walton Beach, FL, 32547
Officers & Principals
| Name | Title | Address |
|---|---|---|
| Fossum Basil | P | 914 B Mar Walt Drive |
Other Businesses Registered in Florida
Record last updated on July 4, 2026 at 10:00 PM EST
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