Detail by Entity Name

Florida Not For Profit Corporation

INTRACOASTAL PHYSICIAN HOSPITAL ORGANIZATION, INC.

Filing Information
N94000000859 65-0458571 02/18/1994 FL INACTIVE VOLUNTARY DISSOLUTION 06/20/2001 NONE
Principal Address
5829 CORPORATE WAY
SUITE 103
WEST PALM BEACH, FL 33407

Changed: 05/06/2000
Mailing Address
1309 NO. FLAGLER DRIVE
WEST PALM BEACH, FL 33401

Changed: 05/07/1998
Registered Agent Name & Address LARCOMBE, VALERIE GESQ
AKERMAN SENTERFITT
777 S. FLAGLER DRIVE, SUITE 900E
WEST PALM BEACH, FL 33401

Name Changed: 05/19/1999

Address Changed: 05/06/2000
Officer/Director Detail Name & Address

Title C

KOTZEN, JEFFREY HM.D.
625 N FLAGLER DR, SUITE 508
WEST PALM BEACH, FL 33401

Title S

DAVID L LIPORACE, D.O.
625 N FLAGLER DR, SUITE 508
WEST PALM BEACH, FL 33401

Title T

LOSCALZO, MICHAEL
1309 N. FLAGLER DRIVE
WEST PALM BEACH, FL 33401

Title D

LICHTSTEIN, DANIEL M.D.
1309 N. FLAGLER DRIVE
WEST PALM BEACH, FL 33401

Title D

DODSON, DAVID WM.D.
625 N FLAGLER DR, SUITE 508
WEST PALM BEACH, FL 33401

Title D

SCHECHTMAN, TOMMY J
1309 N. FLAGLER DRIVE
WEST PALM BEACH, FL 33401

Annual Reports
Report YearFiled Date
1998 05/07/1998
1999 05/19/1999
2000 05/06/2000