Detail by Officer/Registered Agent Name

Florida Profit Corporation

NATIONSMED MEDICAL GROUP OF PALM BEACH, INC.

Filing Information
P96000045402 65-0682668 05/29/1996 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/24/1999 NONE
Principal Address
8125 NW 53 STREET
116
MIAMI, FL 33166

Changed: 04/09/1998
Mailing Address
P.O. BOX 141966
CORAL GABLES, FL 33114-1966

Changed: 04/09/1998
Registered Agent Name & Address DIAZ, MARIALENA
8125 NW 53 STREET
SUITE 116
MIAMI, FL 33166

Name Changed: 05/16/1997

Address Changed: 04/09/1998
Officer/Director Detail Name & Address

Title D

MARTINEZ, OSVALDO
8125 NW 53 STREET, SUITE 116
MIAMI, FL 33166

Title D

CEJAS, PABLO
420 LINCOLN ROAD, SUITE #432
MIAMI BEACH, FL 33139

Title D

NEITZEL, JULIE
420 LINCOLN ROAD, SUITE #432
MIAMI BEACH, FL 33139

Annual Reports
Report YearFiled Date
1997 05/16/1997
1998 04/09/1998