Detail by Officer/Registered Agent Name

Florida Profit Corporation

PEDIATRIC PROVIDERS, INC.

Filing Information
P94000035899 65-0496564 05/12/1994 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/26/1997 NONE
Principal Address
C/O 3363 SHERIDAN ST
SUITE 204
HOLLYWOOD, FL 33021
Mailing Address
C/O 3363 SHERIDAN ST
SUITE 204
HOLLYWOOD, FL 33021
Registered Agent Name & Address JACOBSON, JAMES
3363 SHERIDAN ST
SUITE 204
HOLLYWOOD, FL 33021
Officer/Director Detail Name & Address

Title D

LEVIN, PHILIP A
4500 SHERIDAN ST
HOLLYWOOD, FL 33021

Annual Reports
Report YearFiled Date
1995 05/01/1995
1996 04/17/1996