Detail by Officer/Registered Agent Name

Florida Profit Corporation

AMIR H. FATEMI, M.D., P.A.

Filing Information
F77105 59-2191237 05/01/1982 FL INACTIVE CONVERSION 05/11/2009 NONE
Principal Address
6934 ST. AUGUSTINE ROAD
JACKSONVILLE, FL 32217

Changed: 04/29/2002
Mailing Address
8853 SAN JOSE BLVD
SUITE 310
JACKSONVILLE, FL 32217

Changed: 04/29/2002
Registered Agent Name & Address ALBRAHAM I BATEH, P.A.
1558 SAN MARCO BLVD.
JACKSONVILLE, FL 32207

Name Changed: 08/21/2008

Address Changed: 08/17/2005
Officer/Director Detail Name & Address

Title ST

FATEMI, MAHSHID
6934 ST. AUGUSTINE ROAD
JACKSONVILLE, FL 32217

Title P

FATEMI, AMIR HM.D.
6934 ST AUGUSTINE RD
JACKSONVILLE, FL 32217

Annual Reports
Report YearFiled Date
2007 12/13/2007
2008 03/26/2008
2009 04/20/2009