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  5. PROVIDER NETWORK SOLUTIONS, LLC

PROVIDER NETWORK SOLUTIONS, LLC - Florida Company Profile

Company Details

Entity Name: PROVIDER NETWORK SOLUTIONS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PROVIDER NETWORK SOLUTIONS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 31 Jul 2000 (25 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 12 Sep 2022 (3 years ago)
Document Number: L00000009265
FEI/EIN Number 651027618

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 3750 NW 87TH AVENUE, SUITE 500, DORAL, FL, 33178
Mail Address: 3750 NW 87 Avenue, MIAMI, FL, 33178, US
ZIP code: 33178
County: Miami-Dade
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROVIDER NETWORK SOLUTIONS RETIREMENT PLAN 2023 651027618 2024-10-15 PROVIDER NETWORK SOLUTIONS, LLC 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 561790
Sponsor’s telephone number 3052847484
Plan sponsor’s address 3750 NW 87TH AVENUE SUITE 500, DORAL, FL, 33178

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing JEREMY GUTERSOHN-MCCOY
Valid signature Filed with authorized/valid electronic signature
PROVIDER NETWORK SOLUTIONS RETIREMENT PLAN 2022 651027618 2023-10-16 PROVIDER NETWORK SOLUTIONS, LLC 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 561790
Sponsor’s telephone number 3052847484
Plan sponsor’s address 8323 NW 12 STREET SUITE115, MIAMI, FL, 33126

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing JEREMY GUTERSOHN-MCCOY
Valid signature Filed with authorized/valid electronic signature
PROVIDER NETWORK SOLUTIONS RETIREMENT PLAN 2021 651027618 2022-10-17 PROVIDER NETWORK SOLUTIONS, LLC 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 561790
Sponsor’s telephone number 3052847484
Plan sponsor’s address 8323 NW 12 STREET STE115, MIAMI, FL, 33126

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing JEREMY GUTERSOHN-MCCOY
Valid signature Filed with authorized/valid electronic signature
PROVIDER NETWORK SOLUTIONS RETIREMENT PLAN 2020 651027618 2021-09-27 PROVIDER NETWORK SOLUTIONS, LLC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 561790
Sponsor’s telephone number 3052847484
Plan sponsor’s address 8323 NW 12 STREET SUITE115, MIAMI, FL, 33126

Signature of
Role Plan administrator
Date 2021-09-27
Name of individual signing JEREMY GUTERSOHN-MCCOY
Valid signature Filed with authorized/valid electronic signature
PROVIDER NETWORK SOLUTIONS RETIREMENT PLAN 2019 651027618 2020-10-06 PROVIDER NETWORK SOLUTIONS, LLC 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 561790
Sponsor’s telephone number 3052847484
Plan sponsor’s address 8323 NW 12 STREET SUITE115, MIAMI, FL, 33126

Signature of
Role Plan administrator
Date 2020-10-06
Name of individual signing JEREMY GUTERSOHN-MCCOY
Valid signature Filed with authorized/valid electronic signature
PROVIDER NETWORK SOLUTIONS RETIREMENT PLAN 2018 651027618 2019-09-30 PROVIDER NETWORK SOLUTIONS, LLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 561790
Sponsor’s telephone number 3052847484
Plan sponsor’s address 8323 NW 12 STREET SUITE115, MIAMI, FL, 33126

Signature of
Role Plan administrator
Date 2019-09-30
Name of individual signing JEREMY GUTERSOHN-MCCOY
Valid signature Filed with authorized/valid electronic signature
PROVIDER NETWORK SOLUTIONS RETIREMENT PLAN 2017 651027618 2018-07-19 PROVIDER NETWORK SOLUTIONS, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 561790
Sponsor’s telephone number 3052847484
Plan sponsor’s address 8323 NW 12 STREET SUITE115, MIAMI, FL, 33126

Signature of
Role Plan administrator
Date 2018-07-19
Name of individual signing JEREMY GUTERSOHN-MCCOY
Valid signature Filed with authorized/valid electronic signature
PROVIDER NETWORK SOLUTIONS RETIREMENT PLAN 2016 651027618 2017-09-13 PROVIDER NETWORK SOLUTIONS, LLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 561790
Sponsor’s telephone number 3052847484
Plan sponsor’s address 8323 NW 12 STREET SUITE115, MIAMI, FL, 33126

Signature of
Role Plan administrator
Date 2017-09-13
Name of individual signing JEREMY GUTERSOHN-MCCOY
Valid signature Filed with authorized/valid electronic signature
PROVIDER NETWORK SOLUTIONS RETIREMENT PLAN 2015 651027618 2016-10-13 PROVIDER NETWORK SOLUTIONS, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 561790
Sponsor’s telephone number 3052847484
Plan sponsor’s address 8323 NW 12 STREET SUITE 115, MIAMI, FL, 33126

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing JEREMY GUTERSOHN-MCCOY
Valid signature Filed with authorized/valid electronic signature
PROVIDER NETWORK SOLUTIONS RETIREMENT PLAN 2014 651027618 2015-10-07 PROVIDER NETWORK SOLUTIONS, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 561790
Sponsor’s telephone number 3052847484
Plan sponsor’s address 8323 NW 12 STREET SUITE115, MIAMI, FL, 33126

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing JEREMY GUTERSOHN-MCCOY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
JOHNSON RON Manager 3750 NW 87 AVENUE, MIAMI, FL, 33178
Dominguez Jenny Agent 3750 NW 87 AVENUE, MIAMI, FL, 33178

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-03-23 3750 NW 87TH AVENUE, SUITE 500, DORAL, FL 33178 -
REGISTERED AGENT ADDRESS CHANGED 2023-03-23 3750 NW 87 AVENUE, SUITE 500, MIAMI, FL 33178 -
LC AMENDMENT 2022-09-12 - -
CHANGE OF PRINCIPAL ADDRESS 2022-09-12 3750 NW 87TH AVENUE, SUITE 500, DORAL, FL 33178 -
REGISTERED AGENT NAME CHANGED 2015-04-28 Dominguez, Jenny -
LC AMENDMENT AND NAME CHANGE 2013-09-17 PROVIDER NETWORK SOLUTIONS, LLC -

Documents

Name Date
ANNUAL REPORT 2024-04-18
ANNUAL REPORT 2023-03-23
LC Amendment 2022-09-12
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-02-19
ANNUAL REPORT 2020-04-14
ANNUAL REPORT 2019-04-18
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-04-29
ANNUAL REPORT 2016-04-29

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4088667202 2020-04-27 0455 PPP 8323 NW 12 STREET, MIAMI, FL, 33126
Loan Status Date 2021-05-26
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 905340
Loan Approval Amount (current) 905340
Undisbursed Amount 0
Franchise Name -
Lender Location ID 283144
Servicing Lender Name U.S. Century Bank
Servicing Lender Address 2301 NW 87th Ave, DORAL, FL, 33172-2403
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MIAMI, MIAMI-DADE, FL, 33126-0001
Project Congressional District FL-26
Number of Employees 61
NAICS code 561990
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 283144
Originating Lender Name U.S. Century Bank
Originating Lender Address DORAL, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 914542.22
Forgiveness Paid Date 2021-05-04

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Dominguez Jenny

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Companies related by address

3750 NW 87TH AVENUE, SUITE 500, DORAL, FL, 33178

DERMATOLOGY NETWORK SOLUTIONS OF SOUTH FLORIDA, LLC PNS OF FLORIDA I LLC PODIATRY NETWORK SOLUTIONS OF FLORIDA,LLC DNS OF FLORIDA II, LLC ONS OF FLORIDA II, LLC ONS OF FLORIDA IIII, LLC PAIN CONTROL SOLUTIONS IIII, LLC DNS OF FLORIDA IIII, LLC ONS OF FLORIDA V, LLC ORTHOPEDIX HOLDCO, INC.

Date of last update: 02 Apr 2025

Sources: Florida Department of State

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