Detail by Officer/Registered Agent Name

Florida Profit Corporation

ATLANTIC FAMILY MEDICAL CENTER, INC.

Filing Information
P97000052458 65-0764958 06/13/1997 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/24/1999 NONE
Principal Address
13155 ATLANTIC BLVD.
JACKSONVILLE, FL 32225

Changed: 08/07/1998
Mailing Address
P.O. BOX 330909
ATLANTIC BEACH, FL 32233

Changed: 08/07/1998
Registered Agent Name & Address B & C CORPORATE SERVICES, INC.
2601 S BAYSHORE DR SUITE 1600
MIAMI, FL 33131
Officer/Director Detail Name & Address

Title DST

SANTOS, BLANCA
9350 S. DIXIE HWY., SUITE 1220
MIAMI, FL 33156

Title DV

JONES, LARRY E
2605 MAITLAND CNTR PKWY, STE 300
MAITLAND, FL 32751

Title DP

SILVERBERG, STEPHEN LMD
13155 ATLANTIC BLVD.
JACKSONVILLE, FL 32225

Title V

MICOLUCCI, VICTOR MD
11513 N. MAIN ST
JACKSONVILLE, FL 32218

Annual Reports
Report YearFiled Date
1998 08/07/1998