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PROVIDENCE HEALTH CORPORATION - Florida Company Profile

Company Details

Entity Name: PROVIDENCE HEALTH CORPORATION
Jurisdiction: FLORIDA
Filing Type: Foreign Profit
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 12 Feb 2009 (16 years ago)
Date of dissolution: 23 Sep 2016 (9 years ago)
Last Event: REVOKED FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (9 years ago)
Document Number: F09000000579
FEI/EIN Number 263546322

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2020 PONCE DE LEON BLVD., #901, CORAL GABLES, FL, 33134, US
Mail Address: 2020 PONCE DE LEON BLVD., #901, CORAL GABLES, FL, 33134, US
ZIP code: 33134
County: Miami-Dade
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316285620 2013-01-21 2013-01-21 43 S POMPANO PKWY, #305, POMPANO BEACH, FL, 330693001, US 43 S POMPANO PKWY, #305, POMPANO BEACH, FL, 330693001, US

Contacts

Phone +1 954-857-7430

Authorized person

Name KAREN FRANCESCHINI
Role DIRECTOR
Phone 9548577430

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
License Number IMT1092
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
BUZANELI ANTONIO President 240 CRANDON BLVD. #228, KEY BISCAYNE, FL, 33149
SERCHAY ALLAN Agent 5300 33RD AVE., SUITE 117, FR. LAUDERDALE, FL, 33309

Events

Event Type Filed Date Value Description
REVOKED FOR ANNUAL REPORT 2016-09-23 - -
CHANGE OF PRINCIPAL ADDRESS 2015-06-26 2020 PONCE DE LEON BLVD., #901, CORAL GABLES, FL 33134 -
CHANGE OF MAILING ADDRESS 2015-06-26 2020 PONCE DE LEON BLVD., #901, CORAL GABLES, FL 33134 -
REGISTERED AGENT NAME CHANGED 2011-04-28 SERCHAY, ALLAN -
REGISTERED AGENT ADDRESS CHANGED 2010-01-26 5300 33RD AVE., SUITE 117, FR. LAUDERDALE, FL 33309 -

Documents

Name Date
ANNUAL REPORT 2015-04-16
ANNUAL REPORT 2014-04-28
ANNUAL REPORT 2013-04-08
ANNUAL REPORT 2012-04-17
ANNUAL REPORT 2011-04-28
ANNUAL REPORT 2010-01-26
Foreign Profit 2009-02-12

Date of last update: 03 Apr 2025

Sources: Florida Department of State