| Entity Name: | SUMMIT PROVIDER SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jan 2020 (5 years ago) |
| Document Number: | L20000013479 |
| FEI/EIN Number | 84-4399390 |
| Address: | 400 Health Pk Blvd, SAINT AUGUSTINE, FL, 32086, US |
| Mail Address: | 400 Health Pk Blvd, SAINT AUGUSTINE, FL, 32086, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BRODER TODD | Agent | 17 Saint Johns Medical Park Dr, Saint Augustine, FL, 32086 |
| Name | Role | Address |
|---|---|---|
| Broder Todd | Manager | 17 Saint Johns Medical Park Dr, Saint Augustine, FL, 32086 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-16 | 17 Saint Johns Medical Park Dr, Saint Augustine, FL 32086 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-24 | 400 Health Pk Blvd, Mental Health Unit, SAINT AUGUSTINE, FL 32086 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-24 | 400 Health Pk Blvd, Mental Health Unit, SAINT AUGUSTINE, FL 32086 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-07-11 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-01-24 |
| Florida Limited Liability | 2020-01-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
