Detail by Officer/Registered Agent Name

Florida Limited Liability Company

QUALITY PHYSICIANS IPA, LLC

Filing Information
L16000142115 81-3412073 07/28/2016 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/25/2020 NONE
Principal Address
DACELIN ST. MARTIN M.D.
1990 N PROSPECT AVE.
LECANTO, FL 34461

Changed: 10/25/2018
Mailing Address
DACELIN ST. MARTIN M.D.
1990 N PROSPECT AVE.
LECANTO, FL 34461

Changed: 10/25/2018
Registered Agent Name & Address SANDERS, WALTER S
16528 N. DALE MABRY HWY
TAMPA, FL 33618

Name Changed: 12/26/2018

Address Changed: 12/26/2018
Authorized Person(s) Detail Name & Address

Title MGR

DICKERT, ALEX J
905 NORTH CITRUS AVENUE
CRYSTAL RIVER, FL 34428

Title MGR

ST. MARTIN, DACELIN
905 NORTH CITRUS AVENUE
CRYSTAL RIVER, FL 34428

Annual Reports
Report YearFiled Date
2017 02/01/2017
2018 01/04/2018
2019 04/26/2019