Detail by Officer/Registered Agent Name

Florida Profit Corporation

PEDIATRIC ASSOCIATES MANAGEMENT SERVICES, INC.

Filing Information
P96000040478 59-1198552 05/10/1996 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/01/2004 NONE
Principal Address
4620 N. SR 7
BLDG H, STE 316
LAUDERDALE LAKES, FL 33319

Changed: 05/12/2000
Mailing Address
4620 N. SR 7
BLDG H, STE 316
LAUDERDALE LAKES, FL 33319

Changed: 05/12/2000
Registered Agent Name & Address GERSON, PRESTON, ROBINSON, INC
666 71ST ST
SUITE 207
PLANTATION, FL 33317

Name Changed: 04/28/2003

Address Changed: 04/28/2003
Officer/Director Detail Name & Address

Title PD

LEVIN, PHILLIP
16100 VIA MONTEVERDE
DELRAY BEACH, FL 33446-2365

Title V

SHULMAN, PETER
3237 S. PORT ROYAL DRIVE #G
FT LAUDERDALE, FL 33308

Title V

JACOBSON, JED
4220 VAN BUREN ST
HOLLYWOOD, FL 33021

Title ST

LIEBERMAN, GARY
11600 ISLAND RD.
COOPER CITY, FL 33026

Annual Reports
Report YearFiled Date
2001 05/04/2001
2002 05/02/2002
2003 04/28/2003