| Entity Name: | PROVIDER SERVICES OF AMERICA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PROVIDER SERVICES OF AMERICA, 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. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 20 Feb 2014 (11 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | L14000028876 |
| FEI/EIN Number |
46-4866276
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 2385 NW Executive Center Drive, Suite 100, BOCA RATON, FL, 33431, US |
| Address: | 2385 NE Executive Center Drive, BOCA RATON, FL, 33431, US |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689022147 | 2016-05-25 | 2016-05-26 | PO BOX 812140, BOCA RATON, FL, 334812140, US | 2385 NW EXECUTIVE CENTER DR, SUITE 100, BOCA RATON, FL, 334318579, US | |||||||||||||||||||||
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| Phone | +1 561-463-8102 |
| Fax | 5613312707 |
Authorized person
| Name | HARRISON ZIPPER |
| Role | OWNER |
| Phone | 5614638102 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CITY TAX RECEIPT |
| Number | 16-00063751 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TICHNER MAC S | Manager | 2385 NW Executive Center Drive, BOCA RATON, FL, 33431 |
| Zipper Harrison | Manager | 2385 NW Executive Center Drive, BOCA RATON, FL, 33431 |
| Zipper Harrison | Agent | 2385 NW Executive Center Drive, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| CHANGE OF MAILING ADDRESS | 2020-09-10 | 2385 NE Executive Center Drive, Suite 100, BOCA RATON, FL 33431 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-09-10 | 2385 NW Executive Center Drive, Suite 100, BOCA RATON, FL 33431 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-05-20 | 2385 NE Executive Center Drive, Suite 100, BOCA RATON, FL 33431 | - |
| REGISTERED AGENT NAME CHANGED | 2018-01-25 | Zipper, Harrison | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-09-10 |
| ANNUAL REPORT | 2019-05-20 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-04-05 |
| AMENDED ANNUAL REPORT | 2016-05-19 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-01-13 |
| Florida Limited Liability | 2014-02-20 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
