Detail by Officer/Registered Agent Name

Florida Profit Corporation

LANTANA PAIN MANAGEMENT CENTER, INC.

Filing Information
P09000077435 27-0980084 09/17/2009 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/23/2011 NONE
Principal Address
6252 SO. CONGRESS AVE
J-1
LANTANA, FL 33462
Mailing Address
6252 SO. CONGRESS AVE
J-1
LANTANA, FL 33462
Registered Agent Name & Address SHOFSTALL, WILLIAM GESQ.
828 SQUIRE DRIVE
WELLINGTON, FL 33414
Officer/Director Detail Name & Address

Title P/D

BENTVENA, LAWRENCE JD.C.
6252 SO. CONGRESS AVE J-1
LANTANA, FL 33462

Annual Reports
Report YearFiled Date
2010 04/07/2010