| Entity Name: | MEDICARE PROVIDER ENROLLMENT SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 25 Mar 2013 (12 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L13000043703 |
| Address: | 7642 COLLINS RIDGE BLVD., JACKSONVILLE, FL 32244 |
| Mail Address: | 7642 COLLINS RIDGE BLVD., JACKSONVILLE, FL 32244 |
| ZIP code: | 32244 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BOGINS, KENYA M | Agent | 7642 COLLINS RIDGE BLVD., JACKSONVILLE, FL 32244 |
| Name | Role | Address |
|---|---|---|
| BOGINS, KENYA M | Managing Member | 7642 COLLINS RIDGE BLVD., JACKSONVILLE, FL 32244 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2013-03-25 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
