Detail by Officer/Registered Agent Name

Florida Limited Liability Company

REVIVE MEDICAL CENTER LLC

Filing Information
L10000112144 27-3785809 10/27/2010 10/27/2010 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/27/2013 NONE
Principal Address
4324 W. NORTH B STREET
TAMPA, FL 33609

Changed: 10/03/2011
Mailing Address
PO BOX 15241
TAMPA, FL 33684

Changed: 08/29/2012
Registered Agent Name & Address MENDEZ SANCHEZ, ORELVIS R
2602 GEMINI CT APT 257
TAMPA, FL 33614

Name Changed: 02/14/2013

Address Changed: 02/14/2013
Authorized Person(s) Detail Name & Address

Title MGR

MENDEZ SANCHEZ, ORELVIS R
2602 GEMINI CT APT 257
TAMPA, FL 33614

Annual Reports
Report YearFiled Date
2011 03/07/2011
2012 08/29/2012