Detail by Officer/Registered Agent Name

Florida Limited Liability Company

CHILDREN'S MEDICAL GROUP IPA, L.C.

Filing Information
L97000001109 65-0782970 10/06/1997 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 10/14/1999 NONE
Principal Address
3100 S.W. 62 AVENUE
MIAMI, FL 33155
Mailing Address
3100 S.W. 62 AVENUE
MIAMI, FL 33155
Registered Agent Name & Address SUSSMANE, JEFFREY BM.D.
3100 S.W. 62 AVENUE
MIAMI, FL 33155
Authorized Person(s) Detail Name & Address

Title MGR

ESCALON, ENRIQUE M.D.
3100 S.W. 62 AVENUE
MIAMI, FL 33155

Title MGR

HOWARD, CLEVE M.D.
3100 S.W. 62 AVENUE
MIAMI, FL 33155

Title MGR

MELNICK, STEVEN M.D.
3100 S.W. 62 AVENUE
MIAMI, FL 33155

Title MGR

SUSSMANE, JEFFREY BM.D.
3100 S.W. 62 AVENUE
MIAMI, FL 33155

Title MGR

TIROTTA, CHRISTOPHER M.D.
3100 S.W. 62 AVENUE
MIAMI, FL 33155

Annual Reports
Report YearFiled Date
1998 04/13/1998