Detail by Officer/Registered Agent Name

Florida Profit Corporation

WALK IN AND EMERGENCY CLINIC OF DOVER, FLORIDA, INC.

Filing Information
G18643 59-2269563 01/13/1983 FL INACTIVE INVOLUNTARILY DISSOLVED 11/14/1986 NONE
Principal Address
DA, INC.
200 LAKE MORTON DR.; P.O. BOX 117
LAKELAND, FL 33802
Changed: 08/02/1985
Mailing Address
DA, INC.
200 LAKE MORTON DR.; P.O. BOX 117
LAKELAND, FL 33802
Changed: 08/02/1985
Registered Agent Name & Address BRENNEMAN, DANIEL CLIFFORD
1420 LAKELAND HILLS BOULEVARD
LAKELAND, FL 33805
Officer/Director Detail Name & Address

Title PT

BREENEMAN, DANIEL
200 LAKE MORTON DR
LAKELAND,FL 00000
Title S

MARTIN, MICHAEL
200 LAKE MORTON DR
LAKELAND,FL 00000
Title VP

WILLIAMS, VIVIAN
200 LAKE MORTON DR
LAKELAND,FL 00000
Annual Reports
Report YearFiled Date
1984 07/24/1984
1985 08/02/1985

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