Detail by Officer/Registered Agent Name

Florida Limited Liability Company

PROVIDOR ASSISTED LIVING FACILITY, PLLC

Filing Information
L22000514802 92-1293868 12/08/2022 FL ACTIVE
Principal Address
15840 BUNCHE PARK SCHOOL DR
MIAMI GARDENS, FL 33054
Changed: 06/27/2023
Mailing Address
PO Box 552639
MIAMI GARDENS, FL 33055
Changed: 06/27/2023
Registered Agent Name & Address DOLCINE, FABIOLA
15840 BUNCHE PARK SCHOOL DR
MIAMI GARDENS, FL 33054
Address Changed: 06/27/2023
Authorized Person(s) Detail Name & Address

Title MGR

FABIOLA DOLCINE
15840 BUNCHE PARK SCHOOL DR
MIAMI GARDENS, FL 33054
Annual Reports
Report YearFiled Date
2023 06/27/2023
2024 01/31/2024

Document Images
01/31/2024 -- ANNUAL REPORT View image in PDF format
06/27/2023 -- ANNUAL REPORT View image in PDF format
12/08/2022 -- Florida Limited Liability View image in PDF format