Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

BROWARD-COLLIER PROFESSIONAL STANDARDS REVIEW ORGANIZATION, INC.

Filing Information
734248 59-1764802 11/04/1975 FL INACTIVE INVOLUNTARILY DISSOLVED 11/21/1984 NONE
Principal Address
4700-D SHERIDAN STREET
HOLLYWOOD, FL 33021
Changed: 04/01/1982
Mailing Address
4700-D SHERIDAN STREET
HOLLYWOOD, FL 33021
Changed: 04/01/1982
Registered Agent Name & Address SHICK, HERBERT MD
4700 D SHERIDAN ST
HOLLYWOOD, FL
33021
Address Changed: 04/05/1983
Officer/Director Detail Name & Address

Title P

SHICK, HERBERT L., M.D.
4700 D SHERIDAN ST
HOLLYWOOD, FL
Title V

ELLINGTON, RICHARD J.,MD
831 4TH AVENUE
NAPLES, FL
Title S

KAHN, CHARLES B., MD
4700 C SHERIDAN ST
HOLLYWOOD, FL
Title T

HAND, ROBERT S., D.L.
1319 N STATE ROAD 7
HOLLYUWOOD, FL
Title D

STIEN, FRANK N.,M.D.
3001 NW 49TH AVENUE
LAUDERDALE LAKES, FL
Annual Reports
Report YearFiled Date
1982 04/01/1982
1983 04/05/1983

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