Detail by Officer/Registered Agent Name

Florida Profit Corporation

IMMINENT SURGICAL ASSOCIATES, P.A.

Filing Information
P15000002646 47-2759765 01/09/2015 FL ACTIVE AMENDMENT 04/10/2015 NONE
Principal Address
4960 LAZY OAKS WAY
ST. CLOUD, FL 34771
Mailing Address
4960 LAZY OAKS WAY
ST. CLOUD, FL 34771
Registered Agent Name & Address AL-RAWI, ALI, MD
4960 LAZY OAKS WAY
ST. CLOUD, FL 34771

Name Changed: 04/10/2015

Address Changed: 04/10/2015
Officer/Director Detail Name & Address

Title P

AL-RAWI, ALI
6613 Taeda Drive
Sarasota, FL 34241

Title S

BROCKHURST, ALAN, MD
4960 LAZY OAKS WAY
ST. CLOUD, FL 34771

Title T

JAICKS, RUSSELL, MD
4960 LAZY OAKS WAY
ST. CLOUD, FL 34771

Annual Reports
Report YearFiled Date
2017 01/27/2017
2018 04/09/2018
2019 02/13/2019