Detail by Officer/Registered Agent Name

Florida Limited Liability Company

PROVIDERS HEALTH ALLIANCE, LLC

Filing Information
L15000013085 47-2865314 01/22/2015 01/16/2015 FL ACTIVE LC AMENDMENT 09/25/2023 NONE
Principal Address
C/O BELLA VIDA FAMILY PRACTICE
11327 OKEECHOBEE BLVD
#2 & 3
ROYAL PALM BEACH, FL 33411
Changed: 03/14/2022
Mailing Address
PROVIDERS HEALTH ALLIANCE
11924 FOREST HILL BOULEVARD
STE 10A-413
WELLINGTON, FL 33414
Changed: 04/12/2020
Registered Agent Name & Address ANDERS, CHERYL
C/O THINK BIG HEALTH CARE SOLUTIONS, LLC
11924 FOREST HILL BOULEVARD
STE 10A-138
WELLINGTON, FL 33414
Name Changed: 08/23/2019

Address Changed: 04/12/2020
Authorized Person(s) Detail Name & Address

Title AMBR

DOCHNIAK, TINA M, DNP, ARNP
PROVIDERS HEALTH ALLIANCE
11924 FOREST HILL BOULEVARD
STE 10A-413
WELLINGTON, FL 33414
Title MGR

ANDERS, CHERYL MENDELSOHN
C/O THINK BIG HEALTH CARE SOLUTIONS, LLC
11924 FOREST HILL BOULEVARD
STE 10A-413
WELLINGTON, FL 33414
Title AMBR

ROSA, MELISSA MORA, DO
PROVIDERS HEALTH ALLIANCE
11924 FOREST HILL BOULEVARD
STE 10A-413
WELLINGTON, FL 33414
Title AMBR

Aleman Chinea, Ricardo
PROVIDERS HEALTH ALLIANCE
11924 FOREST HILL BOULEVARD
STE 10A-413
WELLINGTON, FL 33414
Title AMBR

Reyes , Anita
PROVIDERS HEALTH ALLIANCE
11924 FOREST HILL BOULEVARD
STE 10A-413
WELLINGTON, FL 33414
Title AMBR

MADZEWA, FELISTAS
PROVIDERS HEALTH ALLIANCE
11924 FOREST HILL BOULEVARD
STE 10A-413
WELLINGTON, FL 33414
Title Authorized Member

Schneider, Lisa
PROVIDERS HEALTH ALLIANCE
11924 FOREST HILL BOULEVARD
STE 10A-413
WELLINGTON, FL 33414
Title AMBR

MILOSCIA, JOHN, MD
11924 FOREST HILL BLVD STE 10A 413
WELLINGTON, FL 33414
Title AMBR

ACLOQUE, JUDE, MD
11924 FOREST HILL BOULEVARD
STE 10- 413
WELLINGTON, FL 33414
Annual Reports
Report YearFiled Date
2022 03/14/2022
2023 03/27/2023
2024 03/21/2024

Document Images
03/21/2024 -- ANNUAL REPORT View image in PDF format
09/25/2023 -- LC Amendment View image in PDF format
03/27/2023 -- ANNUAL REPORT View image in PDF format
08/15/2022 -- LC Amendment View image in PDF format
03/14/2022 -- ANNUAL REPORT View image in PDF format
04/07/2021 -- ANNUAL REPORT View image in PDF format
05/09/2020 -- AMENDED ANNUAL REPORT View image in PDF format
04/12/2020 -- ANNUAL REPORT View image in PDF format
08/23/2019 -- CORLCRACHG View image in PDF format
04/29/2019 -- ANNUAL REPORT View image in PDF format
05/21/2018 -- LC Amendment View image in PDF format
04/18/2018 -- ANNUAL REPORT View image in PDF format
04/05/2017 -- ANNUAL REPORT View image in PDF format
06/13/2016 -- LC Amendment View image in PDF format
03/22/2016 -- ANNUAL REPORT View image in PDF format
01/19/2016 -- LC Amendment View image in PDF format
05/14/2015 -- LC Amendment View image in PDF format
01/22/2015 -- Florida Limited Liability View image in PDF format