Detail by Officer/Registered Agent Name

Florida Limited Liability Company

PHYSICIANS ACCOUNTABLE CARE ORGANIZATION, LLC

Filing Information
L10000082290 27-3308676 08/05/2010 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/23/2016 NONE
Principal Address
301 S LAKE ST.
LEESBURG, FL 34748
Mailing Address
1920 DON WICKHAM DR. SUITE 130
CLERMONT, FL 34711

Changed: 02/25/2015
Registered Agent Name & Address SCOTT, KENNETH L
301 SOUTH LAKE STREET
LEESBURG, FL 34748

Name Changed: 10/17/2011

Address Changed: 10/17/2011
Authorized Person(s) Detail Name & Address

Title MGR

JACOBSON, HAL M
301 S LAKE ST.
LEESBURG, FL 34748

Title MGR

SCOTT, KENNETH L
301 S LAKE ST.
LEESBURG, FL 34748

Annual Reports
Report YearFiled Date
2013 03/06/2013
2014 04/21/2014
2015 02/25/2015