Detail by Officer/Registered Agent Name

Florida Profit Corporation

FLORIDA MEDICAL GROUP OF DAVIE, INC.

Filing Information
L54118 65-0179314 03/01/1990 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/22/2000 NONE
Principal Address
8606 ST RD 84
DAVIE, FL 33324

Changed: 04/17/1995
Mailing Address
3510 RIDGELAND RD.
DAVIE, FL 33324

Changed: 06/14/1996
Registered Agent Name & Address HALADEY, ROBERT
3510 RIDGELAND ROAD
DAVIE, FL 33328

Name Changed: 03/12/1998

Address Changed: 03/12/1998
Officer/Director Detail Name & Address

Title D

FIELDS, ALLAN N.
8606 STATE ROAD 84
DAVIE, FL

Title D

BOLTON, EDGAR B., JR.
8606 STATE ROAD 84
DAVIE, FL

Title D

HALADEY, ROBERT
8606 STATE ROAD 84
DAVIE, FL

Annual Reports
Report YearFiled Date
1997 02/17/1997
1998 03/12/1998
1999 04/09/1999