Detail by Officer/Registered Agent Name

Florida Profit Corporation

ALL FLORIDA UROLOGY ASSOCIATES, INC.

Filing Information
P96000100234 59-3416928 12/11/1996 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/21/2001 NONE
Principal Address
4450 EAST FLETCHER AVE
SUITE C
TAMPA, FL 33613

Changed: 03/27/2000
Mailing Address
509 S HYDE PARK AVE
TAMPA, FL 33606

Changed: 04/29/1999
Registered Agent Name & Address LASTARRIA, EMILIO F M
4450 EAST FLETCHER AVE
TAMPA, FL 33613

Name Changed: 05/08/1998

Address Changed: 03/27/2000
Officer/Director Detail Name & Address

Title PD

LASTARRIA, EMILIO F MD
13615 BRUCE B DOWNS #111
TAMPA, FL 33613

Title VD

ZACHARY, J M MD
13615 BRUCE B DOWNS #111
TAMPA, FL 33613

Title TD

JACOB, DAVID MD
13615 BRUCE B DOWNS #111
TAMPA, FL 33613

Title SD

PAVITAR, CHEEMA S
13615 BRUCE B DOWNS BLVD #111
TAMPA, FL 33613

Annual Reports
Report YearFiled Date
1998 05/08/1998
1999 04/29/1999
2000 03/27/2000