Detail by Officer/Registered Agent Name

Florida Profit Corporation

PROVIDER INNOVATIONS, INC.

Filing Information
P99000027000 NONE 03/23/1999 FL INACTIVE ADMIN DISSOLUTION FOR ANNUAL REPORT 09/22/2000 NONE
Principal Address
7150 WEST 20TH AVE. STE. 412
HIALEAH, FL 33016
Mailing Address
7150 WEST 20TH AVE. STE. 412
HIALEAH, FL 33016
Registered Agent Name & Address REISER, RAYMOND A
1 S.E. THIRD AVE. STE. 1860
MIAMI, FL 33131
Officer/Director Detail Name & Address

Title D

MARTINEZ, ALVARO I
7150 WEST 20TH AVE. STE. 412
HIALEAH, FL 33016

Title D

ZEQUERIA, MARCOS
7100 WEST 20TH AVE. STE. 806
HIALEAH, FL 33016

Title D

BERG, ELIOT H
7150 WEST 20TH AVE. STE. 403
HIALEAH, FL 33016

Title D

KOREMAN, NEIL
7100 W. 20TH AVE. STE. 107
HIALEAH, FL 33016

Title D

FERNANDEZ, ERIC
2140 W. 68TH ST. STE. 402
HIALEAH, FL 33016

Title D

TODD, FRANK
7150 W. 20TH AVE. STE. 412
HIALEAH, FL 33016

Annual Reports
No Annual Reports Filed