Detail by Officer/Registered Agent Name

Florida Profit Corporation

CARROLLWOOD UROLOGY, P.A.

Filing Information
P02000132980 57-1145732 12/19/2002 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/01/2004 NONE
Principal Address
14499 NORTH DALE MABRY HIGHWAY
SUITE 180
TAMPA, FL 33618
Mailing Address
14499 NORTH DALE MABRY HIGHWAY
SUITE 180
TAMPA, FL 33618
Registered Agent Name & Address SUSSMAN, DOV ESQ.
14499 NORTH DALE MABRY HIGHWAY
SUITE 180
TAMPA, FL 33618
Officer/Director Detail Name & Address

Title PVD

BINDER, MICHAEL AMD
14499 NORTH DALE MABRY HIGHWAY SUITE 180
TAMPA, FL 33618

Annual Reports
Report YearFiled Date
2003 06/16/2003