Detail by Officer/Registered Agent Name

Florida Limited Liability Company

SELECT PHYSICIANS ALLIANCE, P.L.

Filing Information
L10000083552 27-3337174 08/09/2010 FL ACTIVE LC AMENDED AND RESTATED ARTICLES 10/28/2011 NONE
Principal Address
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Changed: 11/17/2017
Mailing Address
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Changed: 11/17/2017
Registered Agent Name & Address WATTS, SHERYL A
10002 PRINCESS PALM DR
SUITE 332
TAMPA, FL 33619

Name Changed: 03/19/2014

Address Changed: 01/25/2018
Authorized Person(s) Detail Name & Address

Title PRESIDENT

RIVERA, MIGUEL A, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title DIRECTOR

AGNELLO, PETER FMD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title MGR

BARTELS, LOREN JMD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title MGR

CASTELLANO, DOMINIC MMD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title VP

SCOTCH, BRETT A, DO
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title MGR

VINCENT, DANIEL MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title Manager

POWELL, SCOTT A, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title SECRETARY

DANNER, CHRISTOPHER J, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title MANAGER

MCKERNAN, PETER B, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title Manager

AGLIANO, DENNIS S, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title Manager

ANDERSON, SCOTT R, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title Manager

BAINES, PAMELA B, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title Manager

BOOTHBY, RENE A, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title Manager

DOLGIN, SANFORD R, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title MANAGER

LEE, JANET I, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title Manager

NOFSINGER, YOON C, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title Manager

ROGERS, JEREMY B, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Title Manager

ALLEN, KYLE, MD
10002 PRINCESS PALM AVE
STE 332
TAMPA, FL 33619

Annual Reports
Report YearFiled Date
2022 03/30/2022
2023 04/20/2023
2024 03/01/2024