Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

FLORIDA SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS EDUCATIONAL AND RESEARCH FOUNDATION, INC

Filing Information
N15000002937 47-3237061 03/19/2015 03/16/2015 FL ACTIVE AMENDED AND RESTATED ARTICLES 11/30/2015 NONE
Principal Address
6000 North Federal Highway
Fort Lauderdale, FL 33308

Changed: 01/29/2016
Mailing Address
297 ALLEN STREET
LEBANON, OH 45036

Changed: 02/17/2023
Registered Agent Name & Address TRACY, DEBORAH H
11319 CORTEZ BLVD.
BROOKSVILLE, FL 34613

Name Changed: 11/30/2015

Address Changed: 11/30/2015
Officer/Director Detail Name & Address

Title DIRECTOR AT LARGE

CORDNER, HAROLD J, MD
13835 US HWY 1
SEBASTIAN, FL 32958

Title PAST PRESIDENT

DE LA GARZA, MIGUEL, Dr.
5413 GEORGE STREET
NEW PORT RICHEY, FL 34652

Title DIRECTOR AT LARGE

TRACY, DEBORAH, MD
11319 CORTEZ BLVD.
BROOKSVILLE, FL 34613

Title DIRECTOR AT LARGE

DAITCH, JONATHAN, MD
8255 COLLEGE PKWY SUITE 200
FT. MYERS, FL 33919

Title DIRECTOR AT LARGE

DALTON, HAROLD, MD
6000 N. FEDERAL HWY
FT LAUDERDALE, FL 33308

Title DIRECTOR AT LARGE

LIPNICK, JESSE, MD
1315 NW 21 AVE SUITE 1
CHIEFLAND, FL 32626

Title DIRECTOR AT LARGE

TRESCOTT, ANDREA, Phd
4 OCEANSIDE CIRCLE
ST AUGUSTINE, FL 32080

Title EXECUTIVE DIRECTOR

BYERS-ROBSON, MICHELLE
392 ALLEN STREET
LEBANON, OH 45036

Title PRESIDENT ELECT

BHALANI, MAULIK, Dr.
2553 WINDGUARD CIRCLE
WESLEY CHAPEL, FL 33544

Title PRESIDENT

PAEZ, JULIO, Dr.
2448 HOOKS STREET
CLERMONT, FL 34711

Title SECRETARY

PRZKORA, RENE, MD
UNIVERSITY OF FLORIDA
GAINESVILLE, FL 32610

Title Treasurer

STIECHEN, CARRIE
392 ALLEN STREET
LEBANON, OH 45036

Title DIRECTOR AT LARGE

FERNANDEZ, VANIA
3702 WASHINGTON STREET
STE 101
HOLLYWOOD, FL 33021

Annual Reports
Report YearFiled Date
2021 02/15/2021
2022 04/28/2022
2023 02/17/2023