| Entity Name: | PROVIDER REVENUE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Feb 2021 (4 years ago) |
| Document Number: | L21000066681 |
| FEI/EIN Number | 862435882 |
| Address: | 805 Belvoir Dr, Davenport, FL, 33837, US |
| Mail Address: | 805 Belvoir Dr, Davenport, FL, 33837, US |
| ZIP code: | 33837 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| PONCE GUTIERREZ DAVID | Agent | 805 Belvoir Dr, Davenport, FL, 33837 |
| Name | Role | Address |
|---|---|---|
| PONCE GUTIERREZ DAVID | Manager | 805 Belvoir Dr, Davenport, FL, 33837 |
| SIMMONS CHERYL | Manager | 3272 GLACIER DRIVE, LAKE ORION, MI, 48360 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-23 | 805 Belvoir Dr, Davenport, FL 33837 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-23 | 805 Belvoir Dr, Davenport, FL 33837 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-23 | 805 Belvoir Dr, Davenport, FL 33837 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-01-27 |
| Florida Limited Liability | 2021-02-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
