HUMANA HOSPITAL SUN BAY MEDICAL STAFF, INC.

Florida Not For Profit Corporation

Filing Information

• Document Number: 739945
• FEI/EIN Number: 59-1765119
• Date Filed: 08/18/1977
• State: FL
• Status: INACTIVE
• Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
• Event Date Filed: 11/09/1990
• Event Effective Date: NONE

Principal Address

3030 6TH ST. SO
ST. PETERSBURG, FL 33705

Mailing Address

3030 6TH ST. SO
ST. PETERSBURG, FL 33705

Registered Agent Name & Address

FREDDIE MCRAE M.S.

4951 34TH ST S.
ST. PETERSBURG, FL 33701

Name Changed: 05/18/1989

Address Changed: 02/12/1987

Officer/Director Detail

Name & Address

Title VD

NORSTEIN, MARK M.D.

1100 62ND AVE. S.
ST PETERSBURG, FL 00000

Title PD

DEMATTEIS, RALPH M.D.

3030 SIXTH STREET S
ST PETERSBURG, FL 00000

Title STD

MCRAE, FREDDIE, MD

7006 6TH ST. S.
ST. PETERSBURG, FL

Annual Reports

Report Year	Filed Date
1987	02/12/1987
1988	03/09/1988
1989	05/18/1989

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