Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

BRANDON MANAGED CARE NETWORK, INC.

Filing Information
N94000004746 59-3273542 09/23/1994 09/19/1994 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/21/2001 NONE
Principal Address
2323 CURLEW ROAD SUITE 7E
PALM HARBOR, FL 34683
Mailing Address
2323 CURLEW ROAD SUITE 7E
PALM HARBOR, FL 34683
Registered Agent Name & Address BURGESS, ROY L
13601 BRUCE B. DOWNS BLVD
STE 311
TAMPA, FL 33613

Name Changed: 05/04/2000

Address Changed: 05/04/2000
Officer/Director Detail Name & Address

Title TSD

KSPES, KATHERYN M.D.
717 W. ROBERTSON ST.
BRANDON, FL 33511

Title TD

ZUMPANO, ANTONIO
500 VONDERBURG DR #101
BRANDON, FL 33511

Title D

HENDERSON, GREGORY M.D.
403 VONDERBURG DR.
BRANDON, FL 33511

Title D

PARKS, STEPHEN DM.D.
272 APOLLO BEACH BLVD.
APOLLO BEACH, FL 33572

Annual Reports
Report YearFiled Date
1998 05/06/1998
1999 04/06/1999
2000 05/04/2000