Detail by Entity Name

Florida Profit Corporation

PHYSICIAN PROVIDER GROUP, INC.

Filing Information
G57885 59-2322240 09/01/1983 FL INACTIVE MERGER 09/28/1988 09/30/1988
Principal Address
100 N.W. 70TH AVE.
8200 W. SUNRISE BLVD, BLDG C
PLANTATION, FL 33317
Changed: 06/13/1988
Mailing Address
100 N.W. 70TH AVE.
8200 W. SUNRISE BLVD, BLDG C
PLANTATION, FL 33317
Changed: 06/13/1988
Registered Agent Name & Address CREED, JERE D., M.D.
100 N.W. 70TH AVE.
PLANTATION, FL 33317
Address Changed: 06/13/1988
Officer/Director Detail Name & Address

Title DV

CREED, JERE D., M.D.
100 N.W. 70TH AVE.
PLANTATION, FL
Title DVS

DAVISON, WILLIAM A.,M.D.
100 N.W. 70TH AVE.
PLANTATION, FL
Title DVT

WEINSTEIN, VICTOR J. M.D
100 N.W. 70TH AVE.
PLANTATION, FL
Title DP

FINDEISS, CLIFFORD, M.D.
100 N.W. 70TH AVE.
PLANTATION, FL
Title DV

PRINCIPE, NEIL J. M.D.
100 N.W. 70TH AVE.
PLANTATION, FL
Title DV

LUCAS, DANIEL E., M.D.
100 N.W. 70TH AVE.
PLANTATION, FL
Annual Reports
Report YearFiled Date
1986 03/31/1986
1987 03/24/1987
1988 06/13/1988

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