Detail by Officer/Registered Agent Name

Florida Limited Liability Company

PALM BEACH MEDICAL PRACTICE LLC

Filing Information
L10000106266 NONE 10/12/2010 10/11/2010 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/23/2011 NONE
Principal Address
3385 BURNS ROAD
103
PALM BEACH GARDENS, FL 33410
Mailing Address
110 ANDROS HARBOUR PLACE
JUPITER, FL 33458
Registered Agent Name & Address NEMAT, EJAZ
110 ANDROS HARBOUR PLACE
JUPITER, FL 33458
Authorized Person(s) Detail Name & Address

Title MGR

NEMAT, EJAZ
110 ANDROS HARBOUR PLACE
JUPITER, FL 33458

Title MGR

MALIK, FARZANA
319 SEPTEMBER STREET
PALM BEACH GARDENS, FL 33410

Title MGR

AHMED, FAROOQ
4562 HUNTING TRAIL
LAKE WORTH, FL 33467

Annual Reports
No Annual Reports Filed