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
2385 NE Executive Center Drive
Suite 100
BOCA RATON, FL 33431

Changed: 05/20/2019
Mailing Address
2385 NW Executive Center Drive
Suite 100
BOCA RATON, FL 33431

Changed: 09/10/2020
Registered Agent Name & Address Zipper, Harrison
2385 NW Executive Center Drive
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
2385 NW Executive Center Drive
Suite 100
BOCA RATON, FL 33431

Title MGR

Zipper, Harrison
2385 NW Executive Center Drive
Suite 100
BOCA RATON, FL 33431

Annual Reports
Report YearFiled Date
2020 09/10/2020
2021 04/15/2021
2022 04/15/2022