| Entity Name: | PROVIDER AFFILIATED SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Aug 1986 (38 years ago) |
| Document Number: | J30024 |
| FEI/EIN Number | 592714360 |
| Address: | % CHARLES J. JACOBSON, 2323 CURLEW RD., STE 7E, PALM HARBOR, FL, 34683 |
| Mail Address: | % CHARLES J. JACOBSON, 2323 CURLEW RD., STE 7E, PALM HARBOR, FL, 34683 |
| ZIP code: | 34683 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| JACOBSON, CHARLES J. | Agent | 2323 CURLEW RD., PALM HARBOR, FL, 34683 |
| Name | Role | Address |
|---|---|---|
| JACOBSON, CHARLES J. | Director | 2407 HUNTINGTON BOULEVARD, SAFETY HARBOR, FL |
| ABERNATHY, JAMES MARK | Director | 1427 40TH AVENUE N.E., ST. PETERSBURG, FL |
| Name | Role | Address |
|---|---|---|
| JACOBSON, CHARLES J. | President | 2407 HUNTINGTON BOULEVARD, SAFETY HARBOR, FL |
| Name | Role | Address |
|---|---|---|
| ABERNATHY, JAMES MARK | Vice President | 1427 40TH AVENUE N.E., ST. PETERSBURG, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 1996-09-17 | No data | No data |
| NAME CHANGE AMENDMENT | 1992-09-21 | PROVIDER AFFILIATED SERVICES, INC. | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
