Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

PALMETTO PHYSICIAN ASSOCIATION, INC.

Filing Information
N50804 65-0442068 09/11/1992 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/22/2000 NONE
Principal Address
7150 W. 20TH AVE.
#412
HIALEAH, FL 33016

Changed: 03/20/1998
Mailing Address
7150 W. 20TH AVE.
#412
HIALEAH, FL 33016

Changed: 03/20/1998
Registered Agent Name & Address MARTINEZ, ALVARO LM.D.
7150 W. 20TH AVE.
#412
HIALEAH, FL 33016

Name Changed: 03/20/1998

Address Changed: 03/20/1998
Officer/Director Detail Name & Address

Title D

FERNANDEZ, ERIC M.D.
7100 W. 20TH AV.
HIALEAH, FL 33016

Title D

CAPOTE, PEDRO M.D.
7100 W. 20TH AVE.
HIALEAH, FL 33016

Title D

CAMPOS, JAIME M.D.
7100 W. 20TH AVE.
HIALEAH, FL 33016

Title CD

COMPERATORE, ROBERTO M.D.
7100 W. 20TH AVE.
HIALEAH, FL 33016

Title D

MENDEZ, KEVIN M.D.
7100 W. 20TH AVE.
HIALEAH, FL 33016

Annual Reports
Report YearFiled Date
1997 05/16/1997
1998 03/20/1998
1999 05/10/1999