Detail by Officer/Registered Agent Name

Florida Not For Profit Corporation

MIAMI CHILDREN'S PHYSICIAN-HOSPITAL ORGANIZATION, INC.

Filing Information
N95000004180 65-0627142 08/31/1995 FL INACTIVE VOLUNTARY DISSOLUTION 05/10/2006 NONE
Principal Address
3100 S.W. 62ND AVE.
MIAMI, FL 33155
Mailing Address
3100 S.W. 62ND AVE.
MIAMI, FL 33155
Registered Agent Name & Address CORPORATION SERVICE COMPANY
1201 HAYS STREET
TALLAHASSEE, FL 32301

Name Changed: 04/15/1996
Officer/Director Detail Name & Address

Title CD

ALFARO, PEDRO
3100 S.W. 62ND AVENUE
MIAMI, FL 33155

Title S

SUSSMANE, JEFFREY MD
3100 SW 62ND AVENUE
MIAMI, FL 33155

Title T

BRENNAN, BARRY
3100 SW 62ND AVENUE
MIAMI, FL 33155

Title D

ROZEK, THOMAS
3100 SW 62ND AVENUE
MIAMI, FL 33155

Title CC

RESNICK, TREVOR J
3100 SW 62ND AVENUE
MIAMI, FL 33155

Annual Reports
Report YearFiled Date
2005 05/03/2005
2006 04/26/2006