Detail by Officer/Registered Agent Name
Florida Not For Profit Corporation
PEDIATRIC SPECIALTY GROUP, INC.
Filing Information
N12000008352
46-3756071
08/29/2012
FL
INACTIVE
CONVERSION
12/30/2020
12/31/2020
Principal Address
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Mailing Address
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Registered Agent Name & Address
MIAMI CHILDREN'S HEALTH SYSTEM, INC C/O LEGAL DEPT
Name Changed: 08/14/2019
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Name Changed: 08/14/2019
Officer/Director Detail
Name & Address
Title Chair
SOTO, ALEX
Title Director
LOVE, MATTHEW
Title Senior Medical Director of Pediatric Services
Mestre, Marcos, MD
Title Director
Dave, Sandeep, MD
Title Director
Muniz Crim, Alisa, MD
Title Interim President/Secretary
Perlyn, Chad, MD
Title Director
Rossi, Anthony, MD
Title Vice Chair
SPURDLE, CRAIG, MD
Title Director
MURGADO, MARIO
Title Director
DAVIS, JARET, Esq.
Title Director
PATEL, RICKY, Esq.
Title Director
REED, PERRY ANN
Title Director
BOGGS, MICHELLE
Title Director
GEORGE, STEPHEN, MD
Title Director
CHRISTIN, NICOLE, MD
Title Director
DROSSNER, DAVID, MD
Title Director
LAUFER, P. MARCELO, MD
Title Director
NIAZI, TOBA, MD
Title Director
PENA, BARBARA, MD
Title Director
RAMON-COTON, MARIA, MD
Title Director
RIVERO-CONIL, SARA, Dr.
Title Chief Financial Officer and Treasurer
JAVERSACK, DAWN
Title Chair
SOTO, ALEX
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
LOVE, MATTHEW
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Senior Medical Director of Pediatric Services
Mestre, Marcos, MD
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
Dave, Sandeep, MD
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
Muniz Crim, Alisa, MD
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Interim President/Secretary
Perlyn, Chad, MD
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
Rossi, Anthony, MD
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Vice Chair
SPURDLE, CRAIG, MD
3100 SW 62ND AVE
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
MURGADO, MARIO
3100 SW 62ND AVE
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
DAVIS, JARET, Esq.
3100 SW 62ND AVE
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
PATEL, RICKY, Esq.
3100 SW 62ND AVE
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
REED, PERRY ANN
3100 SW 62ND AVE
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
BOGGS, MICHELLE
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
GEORGE, STEPHEN, MD
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
CHRISTIN, NICOLE, MD
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
DROSSNER, DAVID, MD
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
LAUFER, P. MARCELO, MD
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
NIAZI, TOBA, MD
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
PENA, BARBARA, MD
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
RAMON-COTON, MARIA, MD
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Director
RIVERO-CONIL, SARA, Dr.
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Title Chief Financial Officer and Treasurer
JAVERSACK, DAWN
3100 SW 62ND AVE.
MIAMI, FL 33155
MIAMI, FL 33155
Annual Reports
Report Year | Filed Date |
2019 | 04/30/2019 |
2020 | 05/13/2020 |
2020 | 09/04/2020 |
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