Detail by Officer/Registered Agent Name

Florida Limited Liability Company

THE PROVIDER 64, LLC

Filing Information
L16000209243 81-4446674 11/15/2016 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/25/2020 NONE
Principal Address
7224 SW 102 STREET
MIAMI, FL 33156
Mailing Address
7224 SW 102 STREET
MIAMI, FL 33156
Registered Agent Name & Address GROSSFELD, KEVIN S
200 SOUTH BISCAYNE BOULVARD, SUITE 3600
C/O ARNSTEIN & LEHR LLP
MIAMI, FL 33131
Authorized Person(s) Detail Name & Address

Title MGR

LOPEZ, ROBERT
7224 SW 102 STREET
MIAMI, FL 33156
Title MGR

LOPEZ, ROBERT, JR.
7224 SW 102 STREET
MIAMI, FL 33156
Annual Reports
Report YearFiled Date
2017 04/28/2017
2018 01/03/2018
2019 01/07/2019

Document Images
01/07/2019 -- ANNUAL REPORT View image in PDF format
01/03/2018 -- ANNUAL REPORT View image in PDF format
04/28/2017 -- ANNUAL REPORT View image in PDF format
11/15/2016 -- Florida Limited Liability View image in PDF format