Detail by Officer/Registered Agent Name

Florida Profit Corporation

INTRACOASTAL PRACTICE SERVICES, INC.

Filing Information
P95000051907 65-0599388 06/30/1995 FL INACTIVE CONVERSION 06/15/2000 NONE
Principal Address
1309 N FLAGLER DR
WEST PALM BEACH, FL 33401

Changed: 05/19/1997
Mailing Address
1309 N FLAGLER DR
WEST PALM BEACH, FL 33401

Changed: 05/06/2000
Registered Agent Name & Address LARCOMBE, VALERIE GESQ.
AKERMAN SENTERFITT
777 S. FLAGLER DRIVE, SUITE 900E
WEST PALM BEACH, FL 33401

Address Changed: 05/06/2000
Officer/Director Detail Name & Address

Title TD

LOSCALZO, MICHAEL
1309 N FLAGLER DR
WEST PALM BEACH, FL 33401

Title S

LARCOMBE, VALERIE
1309 N FLAGLER DR
WEST PALM BEACH, FL 33401

Title VCD

RICHARD JOHNSON
1309 N FLAGLER DR
WEST PALM BEACH, FL 33401

Title PD

NATHAN, STEVEN
1309 N FLAGLER DR
WEST PALM BEACH, FL 33401

Title CD

FREDERICK ADLER
1309 N FLAGLER DR
WEST PALM BEACH, FL 33401

Annual Reports
Report YearFiled Date
1998 05/07/1998
1999 05/19/1999
2000 05/06/2000