Detail by Officer/Registered Agent Name

Florida Limited Liability Company

SURFSIDE FAMILY MEDICINE LLC

Filing Information
L09000059759 27-0406408 06/19/2009 06/19/2009 FL INACTIVE CONVERSION 10/05/2010 NONE
Principal Address
3000 N. ATLANTIC AVENUE
SUITE 108
COCOA BEACH, FL 32931
Mailing Address
3000 N. ATLANTIC AVENUE
SUITE 108
COCOA BEACH, FL 32931
Registered Agent Name & Address SURFSIDE FAMILY PRACTICE LLC
3000 N. ATLANTIC AVENUE
SUITE 108
COCOA BEACH, FL 32931
Authorized Person(s) Detail Name & Address

Title MGRM

EMGUSHOV, OLGA MD.
3000 N. ATLANTIC AVENUE
COCOA BEACH, FL 32931

Title MGR

BOGGS, BRIAN MD.
3000 N. ATLANTIC AVE. SUITE 108
COCOA BEACH, FL 32931

Annual Reports
Report YearFiled Date
2010 02/18/2010