Detail by Officer/Registered Agent Name

Florida Profit Corporation

LESLIE A. TAVARES, M.D., INC.

Filing Information
J36031 59-2656685 09/29/1986 10/01/1986 FL INACTIVE CORPORATE MERGER 01/20/1998 NONE
Principal Address
206 BUCKINGHAM PL SUITE A
BRANDON, FL 33511

Changed: 04/04/1989
Mailing Address
206 BUCKINGHAM PL SUITE A
BRANDON, FL 33511

Changed: 04/04/1989
Registered Agent Name & Address TAVARES, LESLIE A. M.D.
206 BUCKINGHAM PL STE A
BRANDON, FL 33511

Address Changed: 04/04/1989
Officer/Director Detail Name & Address

Title PD

TAVARES, LESLIE A. M.D.
206 BUCKINGHAM PL STE A
BRANDON, FL

Annual Reports
Report YearFiled Date
1995 05/01/1995
1996 02/05/1996
1997 02/04/1997