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PHYSICIAN PROVIDER GROUP, INC.

PHYSICIAN PROVIDER GROUP, INC.

Company Details

Entity Name:	PHYSICIAN PROVIDER GROUP, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Inactive
Date Filed:	01 Sep 1983 (41 years ago)
Document Number:	G57885
FEI/EIN Number	592322240
Address:	100 N.W. 70TH AVE., 8200 W. SUNRISE BLVD, BLDG C, PLANTATION, FL, 33317
Mail Address:	100 N.W. 70TH AVE., 8200 W. SUNRISE BLVD, BLDG C, PLANTATION, FL, 33317
ZIP code:	33317
County:	Broward
Place of Formation:	FLORIDA

Agent

Name	Role	Address
CREED, JERE D., M.D.	Agent	100 N.W. 70TH AVE., PLANTATION, FL, 33317

Director

Name	Role	Address
CREED, JERE D., M.D.	Director	100 N.W. 70TH AVE., PLANTATION, FL
DAVISON, WILLIAM A.,M.D.	Director	100 N.W. 70TH AVE., PLANTATION, FL
WEINSTEIN, VICTOR J. M.D	Director	100 N.W. 70TH AVE., PLANTATION, FL
FINDEISS, CLIFFORD, M.D.	Director	100 N.W. 70TH AVE., PLANTATION, FL
PRINCIPE, NEIL J. M.D.	Director	100 N.W. 70TH AVE., PLANTATION, FL
LUCAS, DANIEL E., M.D.	Director	100 N.W. 70TH AVE., PLANTATION, FL

Vice President

Name	Role	Address
CREED, JERE D., M.D.	Vice President	100 N.W. 70TH AVE., PLANTATION, FL
DAVISON, WILLIAM A.,M.D.	Vice President	100 N.W. 70TH AVE., PLANTATION, FL
WEINSTEIN, VICTOR J. M.D	Vice President	100 N.W. 70TH AVE., PLANTATION, FL
PRINCIPE, NEIL J. M.D.	Vice President	100 N.W. 70TH AVE., PLANTATION, FL
LUCAS, DANIEL E., M.D.	Vice President	100 N.W. 70TH AVE., PLANTATION, FL

Secretary

Name	Role	Address
DAVISON, WILLIAM A.,M.D.	Secretary	100 N.W. 70TH AVE., PLANTATION, FL

Treasurer

Name	Role	Address
WEINSTEIN, VICTOR J. M.D	Treasurer	100 N.W. 70TH AVE., PLANTATION, FL

President

Name	Role	Address
FINDEISS, CLIFFORD, M.D.	President	100 N.W. 70TH AVE., PLANTATION, FL

Events

Event Type	Filed Date	Value	Description
MERGER	1988-09-28	No data	MERGING INTO: 460490

Date of last update: 02 Feb 2025

Sources: Florida Department of State