Detail by Officer/Registered Agent Name

Florida Limited Liability Company

PROVIVA MEDICAL, LLC

Filing Information
L14000140580 81-1459454 09/02/2014 FL INACTIVE LC VOLUNTARY DISSOLUTION 02/16/2018 NONE
Principal Address
40 NE PLANTATION ROAD
STUART, FL 34996
Mailing Address
40 NE PLANTATION ROAD
STUART, FL 34996
Registered Agent Name & Address COVEY, JAMES P, ESQ.
1575 INDIAN RIVER BLVD., SUITE C-120
VERO BEACH, FL 32960

Name Changed: 02/16/2016
Authorized Person(s) Detail Name & Address

Title AMBR

PARADIS KNAUF, ANNE MARIE
40 NE PLANTATION ROAD
STUART, FL 34996

Title MGR

PARADIS KNAUF, ANNE MARIE
40 NE PLANTATION ROAD
STUART, FL 34996

Annual Reports
Report YearFiled Date
2015 02/16/2016
2016 02/16/2016
2017 02/20/2017