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PROVIDERS HEALTH ALLIANCE, LLC - Florida Company Profile

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Company Details

Entity Name: PROVIDERS HEALTH ALLIANCE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PROVIDERS HEALTH ALLIANCE, 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: 22 Jan 2015 (10 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 25 Sep 2023 (2 years ago)
Document Number: L15000013085
FEI/EIN Number 47-2865314

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: C/O BELLA VIDA FAMILY PRACTICE, 11327 OKEECHOBEE BLVD, ROYAL PALM BEACH, FL, 33411, US
Mail Address: PROVIDERS HEALTH ALLIANCE, 11924 FOREST HILL BOULEVARD, WELLINGTON, FL, 33414, US
ZIP code: 33411
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DOCHNIAK TINA MDNP, AR Authorized Member PROVIDERS HEALTH ALLIANCE, WELLINGTON, FL, 33414
ANDERS CHERYL M Manager C/O THINK BIG HEALTH CARE SOLUTIONS, LLC, WELLINGTON, FL, 33414
ROSA MELISSA MDO Authorized Member PROVIDERS HEALTH ALLIANCE, WELLINGTON, FL, 33414
Aleman Chinea Ricardo DNP, AR Authorized Member PROVIDERS HEALTH ALLIANCE, WELLINGTON, FL, 33414
Reyes Anita Authorized Member PROVIDERS HEALTH ALLIANCE, WELLINGTON, FL, 33414
MADZEWA FELISTAS M Authorized Member PROVIDERS HEALTH ALLIANCE, WELLINGTON, FL, 33414
ANDERS CHERYL Agent C/O THINK BIG HEALTH CARE SOLUTIONS, LLC, WELLINGTON, FL, 33414

National Provider Identifier

NPI Number:
1689064834
Certification Date:
2020-09-09

Authorized Person:

Name:
MRS. TINA DOCHNIAK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5618283111
Fax:
5612315201

Form 5500 Series

Employer Identification Number (EIN):
472865314
Plan Year:
2023
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
29
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
LC AMENDMENT 2023-09-25 - -
LC AMENDMENT 2022-08-15 - -
CHANGE OF PRINCIPAL ADDRESS 2022-03-14 C/O BELLA VIDA FAMILY PRACTICE, 11327 OKEECHOBEE BLVD, #2 & 3, ROYAL PALM BEACH, FL 33411 -
REGISTERED AGENT ADDRESS CHANGED 2020-04-12 C/O THINK BIG HEALTH CARE SOLUTIONS, LLC, 11924 FOREST HILL BOULEVARD, STE 10A-138, WELLINGTON, FL 33414 -
CHANGE OF MAILING ADDRESS 2020-04-12 C/O BELLA VIDA FAMILY PRACTICE, 11327 OKEECHOBEE BLVD, #2 & 3, ROYAL PALM BEACH, FL 33411 -
REGISTERED AGENT NAME CHANGED 2019-08-23 ANDERS, CHERYL -
LC STMNT OF RA/RO CHG 2019-08-23 - -
LC AMENDMENT 2018-05-21 - -
LC AMENDMENT 2016-06-13 - -
LC AMENDMENT 2016-01-19 - -

Documents

Name Date
ANNUAL REPORT 2024-03-21
LC Amendment 2023-09-25
ANNUAL REPORT 2023-03-27
LC Amendment 2022-08-15
ANNUAL REPORT 2022-03-14
ANNUAL REPORT 2021-04-07
AMENDED ANNUAL REPORT 2020-05-09
ANNUAL REPORT 2020-04-12
CORLCRACHG 2019-08-23
ANNUAL REPORT 2019-04-29

USAspending Awards / Financial Assistance

Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
186300.00
Total Face Value Of Loan:
186300.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
186300
Current Approval Amount:
186300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
188395.88

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Date of last update: 02 Jun 2025

Sources: Florida Department of State