Detail by Officer/Registered Agent Name

Florida Limited Liability Company

JOSEPH FANFAN JR. MD AND ASSOCIATES, LLC

Filing Information
L09000025636 20-8978748 03/16/2009 03/16/2009 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/23/2011 NONE
Principal Address
2707 ANDREWS AVENUE
WILTON MANORS, FL 33311
Mailing Address
401 E. LAS OLAS BLVD.
SUITE 130-137
FORT LAUDERDALE, FL 33301
Registered Agent Name & Address MOFSEN, HOWARD
9728 W. SAMPLE ROAD
CORAL SPRINGS, FL 33065
Authorized Person(s) Detail Name & Address

Title MGRM

BROWARD MULTISPECIALTY GROUP, LLC
401 E. LAS OLAS BLVD., SUITE 130-137
FORT LAUDERDALE, FL 33301

Annual Reports
Report YearFiled Date
2010 04/27/2010