Detail by Officer/Registered Agent Name

Florida Profit Corporation

BROOKSVILLE MEDICAL CENTER, INC.

Filing Information
478124 59-1603062 06/18/1975 FL INACTIVE INVOLUNTARILY DISSOLVED 11/01/1985 NONE
Principal Address
621 WEST JEFFERSON STREET
BROOKSVILLE, FL 33512
Mailing Address
621 WEST JEFFERSON STREET
BROOKSVILLE, FL 33512
Registered Agent Name & Address BOGGS, JACKSON
220 MADISON STREET
TAMPA, FL
Officer/Director Detail Name & Address

Title PD

HALL, MICHAEL
621 WEST JEFFERSON ST
BROOKSVILLE, FL

Title STD

LAY, WILLIAM
621 WEST JEFFERSON ST
BROOKSVILLE, FL

Title VD

WILSON, GARY
621 WEST JEFFERSON ST
BROOKSVILLE, FL

Annual Reports
Report YearFiled Date
1982 05/04/1982
1983 04/20/1983
1984 06/29/1984

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