Detail by Entity Name

Florida Profit Corporation

INTERLACHEN PEDIATRICS, INC.

Filing Information
H58723 59-2524204 05/24/1985 FL INACTIVE CORPORATE MERGER 01/27/1999 NONE
Principal Address
846 LAKE HOWELL ROAD
MAITLAND, FL 32751

Changed: 01/27/1999
Mailing Address
846 LAKE HOWELL ROAD
MAITLAND, FL 32751

Changed: 01/27/1999
Registered Agent Name & Address LACY, THOMAS AM.D.
846 LAKE HOWELL ROAD
MAITLAND, FL 32751

Name Changed: 01/27/1999

Address Changed: 01/27/1999
Officer/Director Detail Name & Address

Title D

FISK, THOMAS AM.D.
846 LAKE HOWELL ROAD
MAITLAND, FL 32751

Title D

HOLSON, BRENDA BM.D.
846 LAKE HOWELL ROAD
MAITLAND, FL 32751

Title D

LACY, THOMAS AM.D.
846 LAKE HOWELL ROAD
MAITLAND, FL 32751

Title D

NOVICK, KENNETH M.D.
846 LAKE HOWELL ROAD
MAITLAND, FL 32751

Title D

SMITH, SAMUEL NIII
846 LAKE HOWELL ROAD
MAITLAND, FL 32751

Title D

VAN WERT, ANNE KM.D.
846 LAKE HOWELL ROAD
MAITLAND, FL 32751

Annual Reports
Report YearFiled Date
1996 06/11/1996
1997 04/29/1997
1998 03/31/1998