Detail by Officer/Registered Agent Name

Florida Profit Corporation

SUNCOAST PHYSICIANS GROUP, INC.

Filing Information
P96000087884 59-3407321 10/24/1996 10/23/1996 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/21/2001 NONE
Principal Address
601 SEVENTH STREET SOUTH
ST. PETERSBURG, FL 33701
Mailing Address
601 SEVENTH STREET SOUTH
ST. PETERSBURG, FL 33701
Registered Agent Name & Address GORDON, MARK RM.D.
601 SEVENTH STREET SOUTH
ST. PETERSUBRG, FL 33701

Name Changed: 02/07/2000

Address Changed: 11/12/1996
Officer/Director Detail Name & Address

Title COB

GORDON, MARK RM.D.
601 SEVENTH STREET SOUTH
ST. PETERSBURG, FL 33701

Title P

COHEN, STEVEN RM.D.
601 SEVENTH STREET SOUTH
ST. PETERSBURG, FL 33701

Title VP

KOZLOV, NICHOLAS AM.D.
601 SEVENTH STREET SOUTH
ST. PETERSBURG, FL 33701

Title S

BULLINGTON, W. DARRELL M.D.
601 SEVENTH STREET SOUTH
ST. PETERSBURG, FL 33701

Title T

DRESDNER, DAVID MM.D.
601 SEVENTH STREET SOUTH
ST. PETERSBURG, FL 33701

Annual Reports
Report YearFiled Date
1998 03/19/1998
1999 07/29/1999
2000 06/03/2000