Detail by Officer/Registered Agent Name

Florida Limited Liability Company

PHOENIX MEDICAL PRACTICE MANAGEMENT, LLC

Filing Information
L04000001307 N/A 01/07/2004 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/26/2008 NONE
Principal Address
8723 ANCHORAGE DRIVE
MIRAMAR BEACH, FL 32550

Changed: 02/12/2007
Mailing Address
8723 ANCHORAGE DRIVE
MIRAMAR BEACH, FL 32550

Changed: 02/12/2007
Registered Agent Name & Address COFFIELD SACHS, COLLEEN
1719 S COUNTY HIGHWAY 393
SANTA ROSA BEACH, FL 32459

Name Changed: 02/12/2007

Address Changed: 03/09/2005
Authorized Person(s) Detail Name & Address

Title MGR

GREENWALD, E. LANCE
8723 ANCHORAGE DRIVE
MIRAMAR BEACH, FL 32550

Title MGRM

ATLAS, MICHELE
3224 BAY ESTATES DR
DESTIN, FL 32550

Title MGRM

NIEHAUS, CONNIE
3224 BAY ESTATES DR
DESTIN, FL 32550

Annual Reports
Report YearFiled Date
2005 03/09/2005
2007 02/12/2007