Detail by Entity Name

Florida Not For Profit Corporation

MEMORIAL/TOWN & COUNTRY PHO, INC.

Filing Information
N94000001047 59-3227114 03/02/1994 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/19/2003 NONE
Principal Address
2901 SWANN AVE.
TAMPA, FL 33609
Mailing Address
6001 WEBB RD.
TAMPA, FL 33615

Changed: 03/01/1999
Registered Agent Name & Address MAINIERI, JOHN
MEMORIAL HOSPITAL OF TAMPA
2901 SWANN AVE
TAMPA, FL 33609

Name Changed: 11/13/1997

Address Changed: 11/13/1997
Officer/Director Detail Name & Address

Title D

COLIN, CHIRCOP D.O.
4710 N HABANA #301-A
TAMPA, FL 33614

Title D

CROMER, MICHAEL MD
4802 GUNN HWY #155
TAMPA, FL 33624

Title D

THEODORE, MARGARET MD
5420 WEBB RD #B-1
TAMPA, FL 33615

Title D

PERRINO, SCOTT MD
6101 WEBB RD #204
TAMPA, FL 33615

Title DT

MAINIERI, JOHN
2901 SWANN AVE
TAMPA, FL 33609

Annual Reports
Report YearFiled Date
2000 03/01/2000
2001 07/13/2001
2002 06/25/2002