Detail by Officer/Registered Agent Name

Florida Limited Liability Company

THE PHYSICIANS FORUM LLC

Filing Information
L16000178087 81-4550036 09/23/2016 09/21/2016 FL INACTIVE VOLUNTARY DISSOLUTION 02/06/2021 02/06/2021
Principal Address
19950 W Country Club Dr.
Suite 802
Aventura, FL 33180

Changed: 02/12/2020
Mailing Address
PO BOX 80-0031
MIAMI, FL 33280

Changed: 01/31/2017
Registered Agent Name & Address HUGHES, BRYAN
19950 W Country Club Dr.
Suite 802
Aventura, FL 33180

Name Changed: 04/16/2018

Address Changed: 02/12/2020
Authorized Person(s) Detail Name & Address

Title AMBR

HUGHES, BRYAN
PO BOX 80-0031
MIAMI, FL 33280

Title AMBR

MONDESIR, JONATHAN
PO BOX 80-0031
MIAMI, FL 33280

Annual Reports
Report YearFiled Date
2018 01/15/2018
2019 05/01/2019
2020 02/12/2020