Detail by Officer/Registered Agent Name

Florida Profit Corporation

FIVE TOWNS CLINIC, INC.

Filing Information
426382 00-0000000 05/22/1973 FL INACTIVE VOLUNTARY DISSOLUTION 01/23/1980 NONE
Principal Address
2100 62 AVENUE N.
ST PETERSBURG, FL 33702
Mailing Address
2100 62 AVENUE N.
ST PETERSBURG, FL 33702
Registered Agent Name & Address CHAMBERS, R.L.
2100 62ND AVENUE NORTH
ST. PETERSBURG, FL 33702
Officer/Director Detail Name & Address

Title PD

LEVY, PHILIP
6020 SHORE BLVD. SOUTH
GULFPORT, FL
Title VD

CHAMBERS, RICHARD L.
1553 EDEN ISLE BLVD.,N.E
ST PETERSBURG, FL
Title V

KING, NORMAN
11753 95TH TERRACE NO.
SEMINOLE, FL
Title SD

OSBORNE, EDWARD A.
2212 EL DE ORO DR.
CLEARWATER, FL
Annual Reports
Report YearFiled Date
1977 06/30/1977
1978 06/30/1978
1979 05/11/1979

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