Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

NORTH FLORIDA PROVIDER GROUP, INC.

Filing Information
N10000010674 N/A 11/15/2010 01/03/2011 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/26/2014 NONE
Principal Address
555 STOCKTON STREET
JACKSONVILLE, FL 32204
Mailing Address
555 STOCKTON STREET
JACKSONVILLE, FL 32204
Registered Agent Name & Address JENNINGS, RANDY
555 STOCKTON STREET
JACKSONVILLE, FL 32204
Officer/Director Detail Name & Address

Title P

TOTO, IRENE
3292 COUNTY ROAD 220
MIDDLEBURG, FL 32068

Title VP

PAGEL, LAUREEN
463142 SR200 WEST
YULEE, FL 32097

Title SEC

SAMPSON, PATRICIA
2392 NORTH EDGEWOOD AVENUE
JACKSONVILLE,, FL 32254

Title TREA

CLARK, JIM
4203 SOUTHPOINT BLVD
JACKSONVILLE, FL 32216

Annual Reports
Report YearFiled Date
2012 01/17/2012
2013 01/10/2013