PROVIDER INNOVATIONS, INC.

Florida Profit Corporation

Filing Information

• Document Number: P96000095803
• FEI/EIN Number: 65-0733705
• Date Filed: 11/25/1996
• State: FL
• Status: INACTIVE
• Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
• Event Date Filed: 10/16/1998
• Event Effective Date: NONE

Principal Address

7150 WEST 20TH AVE.
SUITE 412
HIALEAH, FL 33016

Mailing Address

7150 WEST 20TH AVE.
SUITE 412
HIALEAH, FL 33016

Registered Agent Name & Address

AMERICAN INFORMATION SERVICES, INC.

ONE S.E. 3RD AVE.
27TH FLOOR
MIAMI, FL 33131

Officer/Director Detail

Name & Address

Title P

TISCHLER, SAMUEL G

7150 WEST 20TH AVENUE, SUITE 412
HIALEAH, FL 33016

Title C

KOREMAN, NEIL MD

7150 WEST 20TH AVE. SUITE 107
HIALEAH, FL 33016

Title S

ZEQUEIRA, MARCOS MD

7150 WEST 20TH AVE. SUITE 806
HIALEAH, FL 33016

Title T

BERMANN, PEDRO

2140 W 68 ST. SUITE 2000
HIALEAH, FL 33016

Title VC

MARTINEZ, ALVARO IMD

7150 WEST 20TH AVE. SUITE 412
HIALEAH, FL 33016

Title VC

FERNANDEZ, ERIC MD

2140 W 68 ST. SUITE 402
HIALEAH, FL 33016

Annual Reports

Report Year	Filed Date
1997	03/26/1997

Document Images

03/26/1997 -- ANNUAL REPORT

02/13/1997 -- AMENDMENT

11/25/1996 -- DOCUMENTS PRIOR TO 1997