Detail by Officer/Registered Agent Name
Florida Limited Liability Company
PROVIDER SERVICES OF AMERICA, LLC
Filing Information
L14000028876
46-4866276
02/20/2014
02/20/2014
FL
INACTIVE
ADMIN DISSOLUTION FOR ANNUAL REPORT
09/22/2023
NONE
Principal Address
Changed: 05/20/2019
2385 NE Executive Center Drive
Suite 100
BOCA RATON, FL 33431
Suite 100
BOCA RATON, FL 33431
Changed: 05/20/2019
Mailing Address
Changed: 09/10/2020
2385 NW Executive Center Drive
Suite 100
BOCA RATON, FL 33431
Suite 100
BOCA RATON, FL 33431
Changed: 09/10/2020
Registered Agent Name & Address
Zipper, Harrison
Name Changed: 01/25/2018
Address Changed: 09/10/2020
2385 NW Executive Center Drive
Suite 100
BOCA RATON, FL 33431
Suite 100
BOCA RATON, FL 33431
Name Changed: 01/25/2018
Address Changed: 09/10/2020
Authorized Person(s) Detail
Name & Address
Title MGR
TICHNER, MAC S
Title MGR
Zipper, Harrison
Title MGR
TICHNER, MAC S
2385 NW Executive Center Drive
Suite 100
BOCA RATON, FL 33431
Suite 100
BOCA RATON, FL 33431
Title MGR
Zipper, Harrison
2385 NW Executive Center Drive
Suite 100
BOCA RATON, FL 33431
Suite 100
BOCA RATON, FL 33431
Annual Reports
Report Year | Filed Date |
2020 | 09/10/2020 |
2021 | 04/15/2021 |
2022 | 04/15/2022 |
Document Images