Detail by Officer/Registered Agent Name

Florida Profit Corporation

JORGE S. VIDAL, M.D., P.A.

Filing Information
P95000090039 65-0631564 11/22/1995 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/24/1999 NONE
Principal Address
2096 IOWA AVE NE
ST PETERSBURG, FL 33703

Changed: 05/19/1997
Mailing Address
2096 IOWA AVE NE
ST PETERSBURG, FL 33703

Changed: 05/19/1997
Registered Agent Name & Address KIZIAH, TRENT S
222 LAKEVIEW AVE.
SUITE 910
WEST PALM BEACH, FL 33401
Officer/Director Detail Name & Address

Title D

VIDAL, DR. JORGE S
2096 IOWA AVE NE
ST PETERSBURG, FL

Annual Reports
Report YearFiled Date
1996 04/23/1996
1997 05/19/1997
1998 05/05/1998