Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

PLANTATION MEDICAL ASSOCIATES PHYSICIAN-HOSPITAL ORGANIZATION, INC.

Filing Information
N93000004847 65-0473275 10/27/1993 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/26/1997 NONE
Principal Address
PLANTATION GENERAL HOSPITAL
401 N.W. 42ND AVE.
PLANTATION, FL 33317
Mailing Address
PLANTATION GENERAL HOSPITAL
401 N.W. 42ND AVE.
PLANTATION, FL 33317
Registered Agent Name & Address FARRELL, JAMES A
250 AUSTRALIAN AVENUE
SUITE 500
WEST PALM BEACH, FL 33405

Name Changed: 04/01/1996

Address Changed: 04/01/1996
Officer/Director Detail Name & Address

Title DP

PARL, EIKE
4101 N.W. 4TH ST., SUITE 104
PLANTATION, FL 33317

Title DV

SELBST, ALLAN
150 N.W. 70TH AVE.
PLANTATION, FL 33317

Title DS

FILSON, TERESA
401 N.W. 42ND AVE.
PLANTATION, FL 33317

Title DT

LANES, GERARDO
150 N.W. 70TH AVE.
PLANTATION, FL 33317

Title D

CALZADILLA, MIGUEL
201 N.W. 82 AVE, SUITE 301
PLANTATION, FL 33324

Title D

MICELI, MARILYN
401 NW 42ND AVENUE
PLANTATION, FL 33317

Annual Reports
Report YearFiled Date
1994 11/10/1994
1995 07/07/1995
1996 04/01/1996