Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

M&D PROVIDER SERVICES, INC.

Filing Information
N02000007286 59-3489909 09/24/2002 09/23/2002 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/26/2008 NONE
Principal Address
2627 CARSON OAKS DRIVE
JACKSONVILLE, FL 32221

Changed: 05/12/2005
Mailing Address
2627 CARSON OAKS DRIVE
JACKSONVILLE, FL 32221

Changed: 05/12/2005
Registered Agent Name & Address KNIGHT, ROBYN S
2825 PARK STREET
JACKSONVILLE, FL 32205
Officer/Director Detail Name & Address

Title D

AXLE, DEBORAH M
2627 CARSON OAKS DRIVE
JACKSONVILLE, FL 32221

Title T

SIMPSON, ANTENET N
803 BELLSHIRE DRIVE
ORANGE PARK, FL 32065

Annual Reports
Report YearFiled Date
2005 05/12/2005
2007 02/10/2007