Detail by Officer/Registered Agent Name

Florida Limited Liability Company

G. BRUSOVANIK, MD, LLC

Filing Information
L11000140042 38-3867074 12/13/2011 FL INACTIVE VOLUNTARY DISSOLUTION 04/28/2015 04/28/2015
Principal Address
7100 W. 20TH AVENUE
Suite 513
HIALEAH, FL 33016

Changed: 03/20/2014
Mailing Address
7100 W. 20TH AVENUE
Suite 513
HIALEAH, FL 33016

Changed: 03/20/2014
Registered Agent Name & Address ORTHO FLORIDA
525 OKEECHOBEE BOULEVARD
SUITE 1100/JAF
WEST PALM BEACH, FL 33401

Name Changed: 04/25/2012
Authorized Person(s) Detail Name & Address

Title MGR

ORTHO FLORIDA, LLC
660 GLADES ROAD, SUITE 460
BOCA RATON, FL 33431

Annual Reports
Report YearFiled Date
2012 04/25/2012
2013 01/23/2013
2014 03/20/2014