Detail by Officer/Registered Agent Name

Florida Profit Corporation

PHYSICIAN CREDENTIALING, INC.

Filing Information
P98000048834 65-0847467 05/29/1998 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/21/2001 NONE
Principal Address
3810 SEGOVIA STREET
CORAL GABLES, FL 33134
Mailing Address
3810 SEGOVIA STREET
CORAL GABLES, FL 33134
Registered Agent Name & Address KAPLAN, ADAM D
2875 NE 191 STREET
SUITE 500
AVENTURA, FL 33180
Officer/Director Detail Name & Address

Title D

CRISWELL, JENNIFER L
3810 SEGOVIA STREET
CORAL GABLES, FL 33134

Annual Reports
Report YearFiled Date
1999 09/15/1999
2000 05/03/2000