Detail by Officer/Registered Agent Name

Florida Limited Liability Company

BOCA RATON PHYSICIAN GROUP, LLC

Filing Information
L06000038195 20-4704017 04/12/2006 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/24/2010 NONE
Principal Address
1905 CLINT MOORE ROAD, SUITE 201
BOCA RATON, FL 33496
Mailing Address
1905 CLINT MOORE ROAD, SUITE 201
BOCA RATON, FL 33496
Registered Agent Name & Address KRUMHOLTZ, SEBA
1905 CLINT MOORE ROAD
201
BOCA RATON, FL 33496

Name Changed: 04/27/2007

Address Changed: 04/27/2007
Authorized Person(s) Detail Name & Address

Title VP

SONNEBORN, ROBERT
1905 CLINT MOORE BLVD, SUITE 201
BOCA RATON, FL 33496

Title P

KRUMHOLTZ, SEBA
1905 CLINT MOORE BLVD, SUITE 201
BOCA RATON, FL 33496

Title T

FRIEDMAN, MARK
1905 CLINT MOORE BLVD, SUITE 201
BOCA RATON, FL 33496

Title S

RUBIN, GLENN
1905 CLINT MOORE BLVD, SUITE 201
BOCA RATON, FL 33496

Annual Reports
Report YearFiled Date
2007 04/27/2007
2008 04/28/2008
2009 04/21/2009