Detail by Officer/Registered Agent Name

Florida Profit Corporation

SUNMED HEALTHCARE PROVIDERS OF WEST FLORIDA, INC.

Filing Information
P96000092299 65-0876130 10/28/1996 11/15/1996 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/24/1999 NONE
Principal Address
1150 NW 72 AVE
500
MIAMI, FL 33126

Changed: 12/02/1998
Mailing Address
P.O. BOX 526200
MIAMI, FL 33152

Changed: 12/02/1998
Registered Agent Name & Address TIRADO, ALEXANDER
1150 NW 72 AVE
500
MIAMI, FL 33126

Name Changed: 12/02/1998

Address Changed: 12/02/1998
Officer/Director Detail Name & Address

Title C

BANGERTER, PHILLIP W
1150 NW 72 AVE, STE 500
MIAMI, FL 33126

Title D

TIRADO, ALEXANDER W
1150 NW 72 AVE, STE 500
MIAMI, FL 33126

Title D

TARR, WILLIAM LJR
711 S. LINCOLN AVE
CLEARWATER, FL 34616

Title D

LASHER, EDWARD C
1150 NW 72 AVE, STE 500
MIAMI, FL 33126

Annual Reports
Report YearFiled Date
1997 05/16/1997
1998 12/02/1998