Detail by Officer/Registered Agent Name

Florida Profit Corporation

BAYSIDE PHYSICIANS GROUP, P.A.

Filing Information
V57982 59-3139333 08/17/1992 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/16/1998 NONE
Principal Address
3043 W. CLEVELAND STREET
TAMPA, FL 33609
Mailing Address
3043 W. CLEVELAND STREET
TAMPA, FL 33609
Registered Agent Name & Address BLAZEJOWSKI, CHRISTOPHER
12906 RAIN FOREST STREET
TEMPLE TERRACE, FL 33617

Name Changed: 05/01/1993

Address Changed: 05/01/1993
Officer/Director Detail Name & Address

Title D

TORRES, CHRISTINE H.
3043 W. CLEVELAND ST.
TAMPA, FL

Title D

BLAZEJOWKSI, CHRISTOPHER
3043 W. CLEVELAND ST.
TAMPA, FL

Annual Reports
Report YearFiled Date
1995 04/17/1995
1996 04/18/1996
1997 04/18/1997