Detail by Officer/Registered Agent Name

Florida Profit Corporation

INDIAN RIVER PROVIDER ALLIANCE, INCORPORATED

Filing Information
J95451 65-0058747 09/30/1987 FL INACTIVE VOLUNTARY DISSOLUTION 06/26/1996 NONE
Principal Address
% MICHAEL J. O'GRADY, JR.
1000 36TH ST
VERO BEACH, FL 32960
Mailing Address
% MICHAEL J. O'GRADY, JR.
1000 36TH ST
VERO BEACH, FL 32960
Registered Agent Name & Address O'GRADY, MICHAEL J., JR.
1000 36TH ST
VERO BEACH, FL 32960
Officer/Director Detail Name & Address

Title D

EGAN, J.B., III
4631 9TH PLACE
VERO BEACH, FL 32966

Title D

CAIN, JAMES L., M.D.
1300 36TH ST
VERO BEACH, FL 32960

Title D

THOMPSON, JAMES A., JR.
2046 14TH AVE
VERO BEACH, FL 32960

Title D

GRAHAM, PAUL A., M.D.
777 37TH ST #D107
VERO BEACH, FL 32960

Title D

O'GRADY, MICHAEL J.
1000 36TH ST
VERO BEACH, FL 32960

Title D

WATKINS, SAMUEL D., M.D.
777 37TH ST #D103
VERO BEACH, FL 32960

Annual Reports
Report YearFiled Date
1993 03/31/1993
1994 03/14/1994
1995 02/06/1995