| Entity Name: | THE PROVIDER 64, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Nov 2016 (8 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L16000209243 |
| FEI/EIN Number | 81-4446674 |
| Address: | 7224 SW 102 STREET, MIAMI, FL, 33156, US |
| Mail Address: | 7224 SW 102 STREET, MIAMI, FL, 33156, US |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| GROSSFELD KEVIN S | Agent | 200 SOUTH BISCAYNE BOULVARD, SUITE 3600, MIAMI, FL, 33131 |
| Name | Role | Address |
|---|---|---|
| LOPEZ ROBERT | Manager | 7224 SW 102 STREET, MIAMI, FL, 33156 |
| LOPEZ ROBERT JR. | Manager | 7224 SW 102 STREET, MIAMI, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-01-07 |
| ANNUAL REPORT | 2018-01-03 |
| ANNUAL REPORT | 2017-04-28 |
| Florida Limited Liability | 2016-11-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
