| Entity Name: | PAVILION PROVIDER NETWORK, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Nov 1989 (35 years ago) |
| Document Number: | L29307 |
| FEI/EIN Number | 592993994 |
| Address: | 841 PRUDENTIAL DRIVE, SUITE 1802, JACKSONVILLE, FL, 32207, US |
| Mail Address: | 841 PRUDENTIAL DRIVE, SUITE 1802, JACKSONVILLE, FL, 32207, US |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| GRANGER HARVEY E | Agent | 841 PRUDENTIAL DRIVE, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| Wooten Scott | Director | 841 PRUDENTIAL DRIVE, SUITE 1602, JACKSONVILLE, FL, 32207 |
| GREEN HUGH | Director | 841 PRUDENTIAL DRIVE, SUITE 1601, JACKSONVILLE, FL, 32207 |
| WILBANKS JOHN F | Director | 841 PRUDENTIAL DRIVE, SUITE 1601, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| Wooten Scott | Vice President | 841 PRUDENTIAL DRIVE, SUITE 1602, JACKSONVILLE, FL, 32207 |
| DURKIN CHRISTOPHER | Vice President | 3563 PHILIPS HIGHWAY, BLDG A, STE 106, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| Wooten Scott | Treasurer | 841 PRUDENTIAL DRIVE, SUITE 1602, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| GRANGER HARVEY | Secretary | 841 PRUDENTIAL DRIVE, SUITE 1802, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| BOYCE PHILIP | President | 841 PRUDENTIAL DRIVE, SUITE 1602, JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| AMENDED AND RESTATEDARTICLES/NAME CHANGE | 2002-02-04 | PAVILION PROVIDER NETWORK, INC. | No data |
| AMENDED AND RESTATEDARTICLES | 1996-11-12 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
