Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

CRH PROVIDERS, INC.

Filing Information
N03870 59-2483302 06/25/1984 06/25/1984 FL INACTIVE VOLUNTARY DISSOLUTION 03/23/1988 NONE
Principal Address
%BARRY SIEGEL, D.O.
17984 SW 97TH AVENUE
MIAMI, FL 33157
Mailing Address
%BARRY SIEGEL, D.O.
17984 SW 97TH AVENUE
MIAMI, FL 33157
Registered Agent Name & Address SIEGEL, BARRY, D.O.
17984 SW 97TH AVENUE
MIAMI, FL 33157
Officer/Director Detail Name & Address

Title PD

SIEGEL, BARRY, D.O.
17984 SW 97 AVE
MIAMI, FL

Title D

SHELTON, DAVID S.
10010 SW 85 ST
MIAMI, FL

Title TD

BARKER, GEORGE
9333 SW 152 ST
MIAMI, FL

Title SD

SCHIMMEL, LAWRENCE H.
8720 N KENDALL DRIVE
MIAMI, FL

Title D

SAHR, MICHAEL R.
777 BRICKELL AVE, S-800
MIAMI, FL

Annual Reports
Report YearFiled Date
1986 03/26/1986
1987 05/13/1987
1988 02/17/1988

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