Detail by Officer/Registered Agent Name

Florida Profit Corporation

INSTITUTE FOR TREATMENT OF DISORDERS OF AGING, P.A.

Filing Information
P96000095457 59-3534128 11/21/1996 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/19/2003 NONE
Principal Address
1401 CENTERVILLE ROAD
SUITE 506
TALLAHASSEE, FL 32308
Mailing Address
1401 CENTERVILLE ROAD
SUITE 506
TALLAHASSEE, FL 32308
Registered Agent Name & Address PIERCE, ROBERT A
227 SOUTH CALHOUN STREET
TALLAHASSEE, FL 32301
Officer/Director Detail Name & Address

Title PD

MAITLAND, CHARLES GM.D.
1401 CENTERVILLE ROAD, SUITE 506
TALLAHASSEE, FL 32308

Title VPTD

FLOREK, GERY KM.D.
1401 CENTERVILLE ROAD, SUITE 506
TALLAHASSEE, FL 32308

Title VPSD

MARTIN, J. TRUE M.D.
1401 CENTERVILLE ROAD, SUITE 300
TALLAHASSEE, FL 32308

Title VPSD

AYALA, RICARDO M.D.
1401 CENTERVILLE ROAD, SUITE 300
TALLAHASSEE, FL 32308

Title VPTD

ORTIZ, WINSTON RM.D.
1401 CENTERVILLE ROAD, SUITE 300
TALLAHASSEE, FL 32308

Annual Reports
Report YearFiled Date
2000 05/12/2000
2001 04/03/2001
2002 04/17/2002