Detail by Officer/Registered Agent Name

Florida Limited Liability Company

PROVIDER ASSOCIATES, LLC

Filing Information
L19000290927 84-3782334 11/25/2019 11/23/2019 FL ACTIVE
Principal Address
1847 Lake Sims Parkway
ORLANDO, FL 34761

Changed: 03/13/2022
Mailing Address
1070 Montgomery Road Unit 451
Altamonte Springs, FL 32714

Changed: 04/19/2023
Registered Agent Name & Address Salomon, Sabrina A
1070 Montgomery Road Unit 451
Altmaonte Springs, FL 32714

Name Changed: 03/13/2022

Address Changed: 04/19/2023
Authorized Person(s) Detail Name & Address

Title MGR

SALOMON, SABRINA
1070 Montgomery Road Unit 451
Altamonte Springs, FL 32714

Annual Reports
Report YearFiled Date
2022 03/13/2022
2023 04/19/2023
2024 02/26/2024