PREMIUM HEALTHCARE OF SOUTH FLORIDA, L.C.

Florida Limited Liability Company

Filing Information

• Document Number: L96000000118
• FEI/EIN Number: 65-0637383
• Date Filed: 01/25/1996
• State: FL
• Status: INACTIVE
• Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
• Event Date Filed: 10/16/1998
• Event Effective Date: NONE

Principal Address

7741 S.W. 62 AVENUE
SUITE 202
MIAMI, FL 33143

Changed: 05/06/1997

Mailing Address

P.O. BOX 431860
MIAMI, FL 33243-1860

Changed: 05/06/1997

Registered Agent Name & Address

SUSSMANE, JEFFREY M.D.

3100 S.W. 62ND AVENUE
MIAMI, FL 33155

Authorized Person(s) Detail

Name & Address

Title MGRM

SUSSMANE, JEFFREY M.D.

3100 S.W. 62ND AVENUE
MIAMI, FL 33155

Title MGRM

TIROTTA, CHRISTOPHER M.D.

3100 S.W. 62ND AVENUE
MIAMI, FL 33155

Title MGM

RIVAS-CHACON, RAFAEL M.D.

7201 S.W. 82 AVENUE
MIAMI, FL 33143

Title MGM

HOWARD, CLEVE M.D.

3200 S.W. 60 COURT, #103
MIAMI, FL 33155

Title MGM

REVES-GARCIA, JESSIE M.D.

3200 S.W. 60 COURT, #204
MIAMI, FL 33155

Title MGM

HERTZBERG, BETTI M.D.

7700 RED ROAD
S. MIAMI, FL 33143

Annual Reports

Report Year	Filed Date
1997	05/06/1997

Document Images

05/06/1997 -- ANNUAL REPORT

01/25/1996 -- DOCUMENTS PRIOR TO 1997