| Entity Name: | PROVIDER ADVANTAGE NW, INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 19 Mar 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Oct 2013 (11 years ago) |
| Document Number: | F10000001417 |
| FEI/EIN Number | 93-1068175 |
| Address: | 4721 MORRISON DR, MOBILE, AL, 36609 |
| Mail Address: | 4721 MORRISON DR, MOBILE, AL, 36609 |
| Place of Formation: | DELAWARE |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| JONES JASON | Chief Financial Officer | 4721 MORRISON DR, MOBILE, AL, 36609 |
| Name | Role | Address |
|---|---|---|
| ALLEN DIANA | President | 4721 MORRISON DR, MOBILE, AL, 36609 |
| Name | Role | Address |
|---|---|---|
| LYONS JAMES M | Chief Executive Officer | 4721 MORRISON DR, MOBILE, AL, 36609 |
| Name | Role | Address |
|---|---|---|
| Pinckard Mark | Treasurer | 4721 MORRISON DR, MOBILE, AL, 36609 |
| Name | Role | Address |
|---|---|---|
| Kaufman Tim | Secretary | 4721 MORRISON DR, MOBILE, AL, 36609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-11 | 4721 Morrison Drive, Mobile, AL 36609 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-11 | 4721 Morrison Drive, Mobile, AL 36609 | No data |
| CHANGE OF MAILING ADDRESS | 2015-07-17 | 4721 MORRISON DR, MOBILE, AL 36609 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-07-17 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-07-17 | CORPORATION SERVICE COMPANY | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-07-17 | 4721 MORRISON DR, MOBILE, AL 36609 | No data |
| REINSTATEMENT | 2013-10-29 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-11 |
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-01-05 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
