Detail by Officer/Registered Agent Name

Florida Profit Corporation

LEESBURG REGIONAL AMBULATORY SURGERY CENTER, INC

Filing Information
H70602 59-2568357 08/09/1985 08/10/1985 FL INACTIVE CONVERSION 06/25/1992 07/01/1992
Principal Address
600 E. DIXIE AVENUE
LEESBURG, FL 34748
Changed: 08/31/1989
Mailing Address
600 E. DIXIE AVENUE
LEESBURG, FL 34748
Changed: 08/31/1989
Registered Agent Name & Address SAYLOR, BRUCE A., ESQ.
907 WEBSTER ST.
LEESBURG, FL 34748
Name Changed: 04/17/1992

Address Changed: 04/17/1992
Officer/Director Detail Name & Address

Title CD

BOWERSOX, WILLIAM P.
505 W. GIBSON STREET
LEESBURG, FL
Title D

BRIDGES, CLIFTON L.
601 E. DIXIE PLZA 901
LEESBURG, FL
Title VCD

KILEY, JUDITH E.
38829 BERCHFIELD RD.
LADY LAKE, FL
Title STD

ENTORF, RICHARD C.
1648 LOVES POINT DR.
LEESBURG, FL
Title D

SHAMI, FOUAD M.D.
616 N. PALMETTO ST.
LEESBURG, FL
Title D

RATH, ROGER
601 E. DIXIE AVE PLZ 201
LEESBURG, FL
Annual Reports
Report YearFiled Date
1990 02/23/1990
1991 03/06/1991
1992 04/17/1992

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