Detail by Officer/Registered Agent Name

Florida Profit Corporation

SUNMED OBGYN PROVIDERS, INC.

Filing Information
P93000014712 65-0426601 02/22/1993 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/21/2001 NONE
Principal Address
1987 NW 88 CT STE 201
MIAMI, FL 33172

Changed: 04/19/1999
Mailing Address
PO BOX 526200
MIAMI, FL 33152-6200

Changed: 04/19/1999
Registered Agent Name & Address TIRADO, ALEXANDER
10735 SW 59 TERR
MIAMI, FL 33173

Name Changed: 04/19/1999

Address Changed: 04/19/1999
Officer/Director Detail Name & Address

Title VD

RUDOLPH, ALLAN S.
11160 NORTH KENDALL DRIVE SUITE 111
MIAMI, FL

Title CD

BANGERTER, PHILLIP W
8990 WEST CYPRESS CREEK RD STE 311
FT LAUDERDALE, FL

Title PD

TIRADO, ALEXANDER
899 WEST CYPRESS CREEK RD STE 311
FT LAUDERDALE, FL

Title DP

MARTIN, MICHAEL M.D.
1987 NW 88 CT STE 201
MIAMI, FL 33172

Annual Reports
Report YearFiled Date
1998 05/08/1998
1999 04/19/1999
2000 05/16/2000