Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

ATLANTICMED, INC.

Filing Information
N94000002964 59-3253184 06/13/1994 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/22/2000 NONE
Principal Address
13695 US HWY 1
SEBASTIAN, FL 32958
Mailing Address
13695 US HWY 1
SEBASTIAN, FL 32958
Registered Agent Name & Address GARRETT, MICHAEL
13695 US HWY 1
SEBASTIAN, FL 32958

Name Changed: 05/01/1996
Officer/Director Detail Name & Address

Title T

DAVIDSON, JOHN M.D.
13695 US HWY 1
SEBASTIAN, FL 32958

Title D

GARRETT, MICHAEL
13695 N US HWY #1
SEBASTIAN, FL 32958

Title TD

MIDKIFF, STEVE
13695 US HWY 1
SEBASTIAN, FL 32958

Title T

CRAWFORD, JOHN M.D.
13695 US HWY 1
SEBASTIAN, FL 32958

Title T

EISENMAN, RICHARD D.O.
13695 US HWY 1
SEBASTIAN, FL 32958

Title T

PARVUS, DIRK D.O.
13695 US HWY 1
SEBASTIAN, FL 32958

Annual Reports
Report YearFiled Date
1997 03/21/1997
1998 10/01/1998
1999 09/20/1999