Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

MERCY HOSPITAL PHO, INC.

Filing Information
N93000000590 65-0400802 02/10/1993 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/16/2005 NONE
Principal Address
1330 CORAL WAY
SUITE 200
MIAMI, FL 33145

Changed: 01/27/2003
Mailing Address
1330 CORAL WAY
SUITE 200
MIAMI, FL 33145

Changed: 01/27/2003
Registered Agent Name & Address FISHMAN, LEWIS
9130 S DADELAND BLVD
1121
MIAMI, FL 33156

Name Changed: 11/30/1998

Address Changed: 11/30/1998
Officer/Director Detail Name & Address

Title D

GARCIA-ESTRADA, HERMINIO MD
2601 SW 37TH AVENUE, SUITE 803
MIAMI, FL 33133

Title D

PITA, JULIO CM.D.
3659 S. MIAMI AVENUE, SUITE 6008
MIAMI, FL

Title P

SURUJON, ESTHER
1330 CORAL WAY, SUITE 200
MIAMI, FL 33145

Title D

COSTA, GABRIEL M.D.
3659 S. MIAMI AVENUE, SUITE 4001
MIAMI, FL

Title D

LOPEZ, LEONARDO VMD
2601 SW 37 AVE., STE. 701
MIAMI, FL 33133

Title D

MAS, RAFAEL MD.
3181 CORAL WAY
MIAMI, FL 33145

Annual Reports
Report YearFiled Date
2002 05/27/2002
2003 01/27/2003
2004 04/23/2004