Detail by Officer/Registered Agent Name

Florida Profit Corporation

MIRAGE MEDICAL CENTER, INC.

Filing Information
P05000106766 20-3264266 08/01/2005 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/26/2008 NONE
Principal Address
85 GRAND CANAL DR,
SUITE 310
MIAMI, FL 33144

Changed: 05/24/2007
Mailing Address
85 GRAND CANAL DR,
SUITE 310
MIAMI, FL 33144

Changed: 05/24/2007
Registered Agent Name & Address VILLALBA, FRANCESCO
85 GRAND CANAL DR
SUITE 310
MIAMI, FL 33144

Name Changed: 05/24/2007

Address Changed: 05/24/2007
Officer/Director Detail Name & Address

Title P

VILLALBA, FRANCESCO
86 GRAND CANAL DR, SUITE 310
MIAMI, FL 33144

Title VP

VILLALBA, DANIEL
85 GRAND CANAL DR. SUITE 310
MIAMI, FL 33144

Annual Reports
Report YearFiled Date
2006 02/15/2006
2007 05/24/2007