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Detail by Officer/Registered Agent Name
Foreign Not For Profit Corporation
FLORIDA SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS, INC.
Filing Information
F02000005780
04-3722319
11/19/2002
DE
ACTIVE
CANCEL ADM DISS/REV
03/03/2004
NONE
Principal Address
Changed: 06/11/2015
11319 Cortez Blvd
Brooksville, FL 34613
Brooksville, FL 34613
Changed: 06/11/2015
Mailing Address
Changed: 01/17/2023
392 ALLEN STREET
LEBANON, OH 45036
LEBANON, OH 45036
Changed: 01/17/2023
Registered Agent Name & Address
Tracy, Deborah H, Dr.
Name Changed: 06/11/2015
Address Changed: 06/11/2015
11319 Cortez Blvd
Brooksville, FL 34613
Brooksville, FL 34613
Name Changed: 06/11/2015
Address Changed: 06/11/2015
Officer/Director Detail
Name & Address
Title DIRECTOR AT LARGE
Lipnick, Jesse A, Dr.
Title Director at Large
Tracy, Deborah, Dr.
Title Executive Director
Byers, Michelle
Title PAST PRESIDENT
DE LA GARZA, MIGUEL, Dr.
Title DIRECTOR AT LARGE
TRESCOTT, ANDREA, Phd
Title DIRECTOR AT LARGE
CORDNER, HAROLD J, Dr.
Title PRESIDENT ELECT
BHALANI, MAULIK, Dr.
Title PRESIDENT
PAEZ, JULIO, Dr.
Title Secretary
PRZKORA, MD, PHD, RENE
Title DIRECTOR AT LARGE
STIECHEN, DO, CARRIE
Title DIRECTOR AT LARGE
FERNANDEZ, VANIA
Title DIRECTOR AT LARGE
DALTON, HAROLD
Title Treasurer
DAITCH, JONATHAN
Title DIRECTOR AT LARGE
ESPOSITO, MICHAEL F, MD
Title DIRECTOR AT LARGE
Lipnick, Jesse A, Dr.
1315 NW 21ST AVENUE
1
CHIEFLAND, FL 32626
1
CHIEFLAND, FL 32626
Title Director at Large
Tracy, Deborah, Dr.
11319 Cortez Blvd
Brooksville, FL 34613
Brooksville, FL 34613
Title Executive Director
Byers, Michelle
392 ALLEN STREET
LEBANON, OH 45036
LEBANON, OH 45036
Title PAST PRESIDENT
DE LA GARZA, MIGUEL, Dr.
5413 GEORGE STREET
NEW PORT RICHEY, FL 34652
NEW PORT RICHEY, FL 34652
Title DIRECTOR AT LARGE
TRESCOTT, ANDREA, Phd
4 OCEANSIDE CIRCLE
ST AUGUSTINE, FL 32080
ST AUGUSTINE, FL 32080
Title DIRECTOR AT LARGE
CORDNER, HAROLD J, Dr.
13835 US HIGHWAY 1
SEBASTIAN, FL 32958
SEBASTIAN, FL 32958
Title PRESIDENT ELECT
BHALANI, MAULIK, Dr.
2553 WINDGUARD CIRCLE
WESLEY CHAPEL, FL 33544
WESLEY CHAPEL, FL 33544
Title PRESIDENT
PAEZ, JULIO, Dr.
2448 HOOKS ST
CLERMONT, FL 34711
CLERMONT, FL 34711
Title Secretary
PRZKORA, MD, PHD, RENE
UNIVERSITY OF FLORIDA
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
Title DIRECTOR AT LARGE
STIECHEN, DO, CARRIE
392 ALLEN STREET
LEBANON, OH 45036
LEBANON, OH 45036
Title DIRECTOR AT LARGE
FERNANDEZ, VANIA
3702 WASHINGTON STREET
SUITE 101
HOLLYWOOD, FL 33021
SUITE 101
HOLLYWOOD, FL 33021
Title DIRECTOR AT LARGE
DALTON, HAROLD
6000 N. FEDERAL HIGHWAY
FORT LAUDERDALE, FL 33308
FORT LAUDERDALE, FL 33308
Title Treasurer
DAITCH, JONATHAN
8255 COLLEGE PARKWAY
SUITE 200
FORT MYERS, FL 33919
SUITE 200
FORT MYERS, FL 33919
Title DIRECTOR AT LARGE
ESPOSITO, MICHAEL F, MD
777 37TH ST STE C-101
VERO BEACH, FL 32960
VERO BEACH, FL 32960
Annual Reports
Report Year | Filed Date |
2022 | 07/20/2022 |
2023 | 01/17/2023 |
2024 | 01/18/2024 |
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