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
Mailing Address
3100 SW 62ND AVE.
MIAMI, FL 33155
Registered Agent Name & Address MIAMI CHILDREN'S HEALTH SYSTEM, INC C/O LEGAL DEPT
3100 SW 62ND AVE.
MIAMI, FL 33155

Name Changed: 08/14/2019
Officer/Director Detail Name & Address

Title Chair

SOTO, ALEX
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Director

LOVE, MATTHEW
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Senior Medical Director of Pediatric Services

Mestre, Marcos, MD
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Director

Dave, Sandeep, MD
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Director

Muniz Crim, Alisa, MD
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Interim President/Secretary

Perlyn, Chad, MD
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Director

Rossi, Anthony, MD
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Vice Chair

SPURDLE, CRAIG, MD
3100 SW 62ND AVE
MIAMI, FL 33155

Title Director

MURGADO, MARIO
3100 SW 62ND AVE
MIAMI, FL 33155

Title Director

DAVIS, JARET, Esq.
3100 SW 62ND AVE
MIAMI, FL 33155

Title Director

PATEL, RICKY, Esq.
3100 SW 62ND AVE
MIAMI, FL 33155

Title Director

REED, PERRY ANN
3100 SW 62ND AVE
MIAMI, FL 33155

Title Director

BOGGS, MICHELLE
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Director

GEORGE, STEPHEN, MD
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Director

CHRISTIN, NICOLE, MD
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Director

DROSSNER, DAVID, MD
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Director

LAUFER, P. MARCELO, MD
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Director

NIAZI, TOBA, MD
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Director

PENA, BARBARA, MD
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Director

RAMON-COTON, MARIA, MD
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Director

RIVERO-CONIL, SARA, Dr.
3100 SW 62ND AVE.
MIAMI, FL 33155

Title Chief Financial Officer and Treasurer

JAVERSACK, DAWN
3100 SW 62ND AVE.
MIAMI, FL 33155

Annual Reports
Report YearFiled Date
2019 04/30/2019
2020 05/13/2020
2020 09/04/2020