Detail by Officer/Registered Agent Name

Florida Profit Corporation

PEDIATRIC SURGICAL ASSOCIATES OF FLORIDA, P.A.

Filing Information
P13000026814 46-2564837 03/22/2013 FL INACTIVE VOLUNTARY DISSOLUTION 03/20/2017 NONE
Principal Address
1900 RANDOLPH ROAD
SUITE 210
CHARLOTTE, NC 28207

Changed: 04/08/2013
Mailing Address
1900 RANDOLPH ROAD
SUITE 210
CHARLOTTE, NC 28207

Changed: 04/08/2013
Registered Agent Name & Address NATIONAL CORPORTE RESEARCH, LTD., INC.
115 N CALHOUN ST STE 4
TALLAHASSEE, FL 32301

Name Changed: 01/11/2016

Address Changed: 01/11/2016
Officer/Director Detail Name & Address

Title VP

SCHULMAN, ANDREW M, M.D.
1900 RANDOLPH RD STE 210
CHARLOTTE, NC 28207

Title D

SCHULMAN, ANDREW M, M.D.
1001 BLYTHE BOULEVARD, SUITE 200-B-1
CHARLOTTE, NC 28232

Title PRESIDENT

BAMBINI, DANIEL A, M.D.
1900 RANDOLPH ROAD
SUITE 210
CHARLOTTE, NC 28207

Title D

BAMBINI, DANIEL A, M.D.
1900 RANDOLPH ROAD
SUITE 210
CHARLOTTE, NC 28207

Title VP

COSPER, GRAHAM H, M.D.
1900 RANDOLPH ROAD
SUITE 210
CHARLOTTE, NC 28207

Title D

COSPER, GRAHAM H, M.D.
1900 RANDOLPH ROAD
SUITE 210
CHARLOTTE, NC 28207

Annual Reports
Report YearFiled Date
2014 03/03/2014
2015 03/05/2015
2016 02/28/2016