Detail by Officer/Registered Agent Name

Florida Limited Liability Company

MONTE CRIX PHYSICIAN SERVICES, LLC

Filing Information
L03000016253 APPLIED FOR 05/06/2003 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/16/2005 NONE
Principal Address
1321 NW 14 STREET
SUITE 405
MIAMI, FL 33125

Changed: 11/09/2004
Mailing Address
1321 NW 14 STREET
SUITE 405
MIAMI, FL 33125

Changed: 11/09/2004
Registered Agent Name & Address FUENTES, MILTON
1101 BRICKELL AVENUE
SUITE 702 SOUTH
MIAMI, FL 33131

Address Changed: 11/09/2004
Authorized Person(s) Detail Name & Address

Title MGRM

MUELLER, GEORGE
1321 NW 14 STREET, STE 405
MIAMI, FL 33125

Annual Reports
Report YearFiled Date
2004 11/09/2004