| Entity Name: | SMITH PHYSICIAN CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Sep 1976 (48 years ago) |
| Document Number: | 511957 |
| FEI/EIN Number | 591686341 |
| Mail Address: | 155 FRANKLIN ROAD, SUITE 400, BRENTWOOD, TN, 37027, US |
| Address: | 955 SEMINOLE BLVD., SEMINOLE, FL, 34642 |
| Place of Formation: | FLORIDA |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| WILBURN, TYREE | Director | 155 FRANKLIN ROAD, #400, BRENTWOOD, TN, 37027 |
| MOFFETT DEBORAH G | Director | 3707 FM 1960 WEST, # 500, HOUSTON, TX, 77068 |
| Name | Role | Address |
|---|---|---|
| WILBURN, TYREE | Senior Vice President | 155 FRANKLIN ROAD, #400, BRENTWOOD, TN, 37027 |
| Name | Role | Address |
|---|---|---|
| MOFFETT DEBORAH G | Vice President | 3707 FM 1960 WEST, # 500, HOUSTON, TX, 77068 |
| RASH MARTIN S | Vice President | 155 FRANKLIN ROAD, #400, BRENTWOOD, TN, 37027 |
| HOLBROOK H. DAVID | Vice President | 155 FRANKLIN ROAD, #400, BRENTWOOD, TN, 37027 |
| Name | Role | Address |
|---|---|---|
| MOFFETT DEBORAH G | President | 3707 FM 1960 WEST, # 500, HOUSTON, TX, 77068 |
| CHANEY E. THOMAS | President | 3707 FM 1960 WEST, #500, HOUSTON, TX, 77068 |
| Name | Role | Address |
|---|---|---|
| MOFFETT DEBORAH G | Treasurer | 3707 FM 1960 WEST, # 500, HOUSTON, TX, 77068 |
| Name | Role | Address |
|---|---|---|
| BUFORD T. MARK | DVPC | 3707 FM 1960 WEST, # 500, HOUSTON, TX, 77068 |
| Name | Role | Address |
|---|---|---|
| RASH MARTIN S | Secretary | 155 FRANKLIN ROAD, #400, BRENTWOOD, TN, 37027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CORPORATE MERGER | 1996-03-15 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS P93000087326. CORPORATE MERGER NUMBER 300000009553 |
| AMENDMENT AND NAME CHANGE | 1995-01-18 | SMITH PHYSICIAN CORPORATION | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
