Detail by Officer/Registered Agent Name

Florida Profit Corporation

DOCADEMIC PROVIDER GROUP, P.A.

Filing Information
P18000086583 83-2289266 10/19/2018 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/24/2021 NONE
Principal Address
800 se 4th ave ste 710
hallandale, FL 33009

Changed: 07/21/2020
Mailing Address
800 se 4th ave ste 710
hallandale, FL 33009

Changed: 07/21/2020
Registered Agent Name & Address CORPORATION SERVICE COMPANY
1201 HAYS STREET
TALLAHASSEE, FL 32301-2525

Name Changed: 10/14/2019
Officer/Director Detail Name & Address

Title Medical director

Kernisant, Lesly
800 se 4th ave ste 710
hallandale, FL 33009

Annual Reports
Report YearFiled Date
2019 10/14/2019
2020 07/21/2020