| Entity Name: | FLORIDA OUTPATIENT SELF-INSURANCE TRUST, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 07 Jul 1989 (36 years ago) |
| Document Number: | N33145 |
| FEI/EIN Number | 592961626 |
| Address: | % ROGERS-ATKINS INSURANCE INC., 1545 RAYMOND DIEHL ROAD, TALLAHASSEE, FL, 32308 |
| Mail Address: | % ROGERS-ATKINS INSURANCE INC., 1545 RAYMOND DIEHL ROAD, TALLAHASSEE, FL, 32308 |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| ROGERS-ATKINS INSURANCE INC. | Agent | ATTN BILL GUNTER, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| LEVINSON, MELVIN | Director | 7330 S.W. 62 PL, MIAMI, FL |
| HARGER, WILLIAM | Director | 4965 PALM AVENUE, WINTER PARK, FL |
| SAPP, JEFF | Director | 88 WEST KALEY STREET, ORLANDO, FL |
| VON DEM BUSSCHE, CARL | Director | P.O. BOX 1608, TARPON SPRINGS, FL |
| SLAVIN, RICHARD | Director | 1400 NE MIAMI GRDNS DR, N MIAMI BEACH, FL |
| MEYER, ROGER DR. | Director | 411 SECOND STREET EAST, BRADENTON, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1992-10-09 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
