Detail by Officer/Registered Agent Name

Florida Profit Corporation

OCTAVIO CARRENO, M.D., P.A.

Filing Information
P02000094659 32-0043362 08/30/2002 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/14/2007 NONE
Principal Address
1555 KINGSLEY AVE
SUITE 604 & 605
ORANGE PARK, FL 32073

Changed: 02/24/2003
Mailing Address
1555 KINGSLEY AVE
SUITE 604 & 605
ORANGE PARK, FL 32073

Changed: 02/24/2003
Registered Agent Name & Address TOLSON, JR, JOHN F
462 KINGSLEY AVE. SUITE 101
ORANGE PARK, FL 32073

Name Changed: 02/24/2003

Address Changed: 02/24/2003
Officer/Director Detail Name & Address

Title P

CARRENO, OCTAVIO MD
1555 KINGSLEY AVE
ORANGE PARK, FL 32073

Annual Reports
Report YearFiled Date
2004 04/29/2004
2005 04/28/2005
2006 04/21/2006