Detail by Officer/Registered Agent Name

Florida Profit Corporation

GENERAL SURGERY PROVIDER GROUP, INC.

Filing Information
P96000000352 65-0631563 12/26/1995 01/01/1996 FL INACTIVE VOLUNTARY DISSOLUTION 04/15/1999 NONE
Principal Address
4302 ALTO ROAD #820
MIAMI BEACH, FL 33140
Mailing Address
4302 ALTO ROAD #820
MIAMI BEACH, FL 33140
Registered Agent Name & Address SACHER, CHARLES P
2655 LEJEUNE ROAD #1101
CORAL GABLES, FL
Officer/Director Detail Name & Address

Title D

UNGER, STEPHEN WM.D.
4302 ALTO ROAD #820
MIAMI BEACH, FL 33140

Title D

MINERVINI, DONALD M.D.
4302 ALTON RD., #820
MIAMI BEACH, FL

Title D

SANTONI, ERNESTO M.D.
4302 ALTON RD., #820
MIAMI BEACH, FL

Title D

EGOZI, ISAAC M.D.
1321 N.W. 14TH STREET
MIAMI BEACH, FL 33125

Title D

GLICK, GARRY LM.D.
4302 ALTON RD., #500
MIAMI BEACH, FL

Annual Reports
Report YearFiled Date
1997 06/05/1997
1998 02/19/1998