| Entity Name: | NORTHWEST PROVIDER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Feb 2010 (15 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 28 Dec 2011 (13 years ago) |
| Document Number: | L10000016239 |
| FEI/EIN Number | 611612225 |
| Address: | 4110 NW 16TH BLVD, GAINESVILLE, FL, 32605 |
| Mail Address: | 4110 NW 16TH BLVD, GAINESVILLE, FL, 32605 |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| DEADERICK WILLIAM I | Agent | 6105 AVE F, MCINTOSH, FL, 32664 |
| Name | Role | Address |
|---|---|---|
| DEADERICK WILLIAM I | Managing Member | 6105 AVE F, MCINTOSH, FL, 32664 |
| RICHARDSON SCOTT M | Managing Member | 7610 SE 185TH AVE, EVINSTON, FL, 32633 |
| Loughridge Paul D | Managing Member | 10449 Dawnflower Pt north, Crystal Rvier, FL, 34428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2011-12-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-04 |
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-01-05 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-03-12 |
| AMENDED ANNUAL REPORT | 2017-05-15 |
| ANNUAL REPORT | 2017-03-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
