Detail by Officer/Registered Agent Name

Florida Profit Corporation

CENTRAL FLORIDA PHYSICIANS NETWORK, INC.

Filing Information
P97000080121 59-3515394 09/15/1997 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/16/2005 NONE
Principal Address
500 EAST CENTRAL AVENUE
WINTER HAVEN, FL 33880
Mailing Address
500 EAST CENTRAL AVENUE
WINTER HAVEN, FL 33880
Registered Agent Name & Address WILLARD, III, EDGAR MD
500 EAST CENTRAL AVENUE
WINTER HAVEN, FL 33880

Name Changed: 07/14/2004

Address Changed: 02/27/2002
Officer/Director Detail Name & Address

Title D

WILLARD, III, EDGAR MD
500 EAST CENTRAL AVENUE
WINTER HAVEN, FL 33880

Title D

BERGNES, JOSEPH AM.D.
635 1ST STREET NORTH
WINTER HAVEN, FL 33880

Title D

INMAN, CHARLES CMD
500 EAST CENTRAL AVENUE
WINTER HAVEN, FL 33880

Title D

MCGETRICK, JOHN JMD
635 FIRST ST. NORTH
WINTER HAVEN, FL 33880

Annual Reports
Report YearFiled Date
2002 02/27/2002
2003 11/20/2003
2004 07/14/2004