Detail by Officer/Registered Agent Name

Florida Profit Corporation

CENTRAL SPACE COAST ANESTHESIOLOGY, P.A.

Filing Information
P95000043441 59-3310967 05/30/1995 06/01/1995 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/25/2009 NONE
Principal Address
CAPE CANAVERAL HOSPITAL
701 WEST COCOA BEACH CSWY
COCOA BEACH, FL 32931

Changed: 04/22/2000
Mailing Address
P.O. BOX 320069
COCOA BEACH, FL 32732-0040

Changed: 04/29/2004
Registered Agent Name & Address VONDERHEIDE, CHRISTOPHER
25 BOUGAINVILLEA DRIVE
COCOA BEACH, FL 32931

Name Changed: 05/29/1996

Address Changed: 04/22/2000
Officer/Director Detail Name & Address

Title AVP

STATHIS, DEMETRIOS
489 SOUTH ATLANTIC AVE
COCOA BEACH, FL 32931

Title ASD

PRESTON, WILLIAM L
4297 CROOKED MILE ROAD
MERRITT ISLAND, FL 32952

Title 2VP

FISK, JEFFREY B
475 RAMSEY LANE
MERRITT ISLAND, FL 32952

Title PD

VONDERHEIDE, CHRISTOPHER
25 BOUGAINVILLEA DRIVE
COCOA BEACH, FL 32931

Title 3VP

NIMOCKS, JAMES A
4380 VIEWCREST DRIVE
MERRITT ISLAND, FL 32953

Annual Reports
Report YearFiled Date
2006 04/25/2006
2007 04/13/2007
2008 04/30/2008