Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

PALM BEACH PHYSICIANS ALLIANCE, INC.

Filing Information
N95000004558 NONE 09/22/1995 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 08/23/1996 NONE
Principal Address
2829 TENTH AVENUE NORTH
LAKE WORTH, FL 33461
Mailing Address
2829 TENTH AVENUE NORTH
LAKE WORTH, FL 33461
Registered Agent Name & Address FARRELL, JAMES A
250 SO. AUSTRALIAN AVENUE STE 500
WEST PALM BEACH, FL 33401
Officer/Director Detail Name & Address

Title PD

BORNIA, MANUEL M.D.
4801 SO. CONGRESS AVENUE STE 205
LAKE WORTH, FL 33461
Title D

MIGUEL, ROBERTO M.D.
2925 TENTH AVENUE STE 104
LAKE WORTH, FL 33461
Title TD

TOME, ROBERT M.D.
1490 FOREST HILL BLVD.
WEST PALM BEACH, FL 33406
Title SD

KHAMBATI, RAJ M.D.
2135 SO. CONGRESS AVENUE STE 206
WEST PALM BEACH, FL 33406
Title D

ARRASCUE, JOSE M.D.
107B JFK CIRCLE
ATLANTIS, FL 33462
Title D

VARADY, STEVEN M.D.
114 JFK CIRCLE
ATLANTIS, FL 33462
Annual Reports
No Annual Reports Filed

Document Images
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