| Entity Name: | PHYSICIAN ASSISTANT PROVIDER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 01 Dec 2003 (21 years ago) |
| Date of dissolution: | 12 Sep 2017 (7 years ago) |
| Last Event: | PENDING REINSTATEMENT |
| Event Date Filed: | 12 Sep 2017 (7 years ago) |
| Document Number: | N04000000528 |
| FEI/EIN Number | 651147271 |
| Address: | 10162 154TH RD. NORTH, JUPITER, FL, 33478 |
| Mail Address: | 10162 154TH RD. NORTH, JUPITER, FL, 33478 |
| ZIP code: | 33478 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| JN-BAPTISTE MICHELLE | Agent | 10162 154TH RD. N., JUPITER, FL, 33478 |
| Name | Role | Address |
|---|---|---|
| JN-BAPTISTE MICHELLE | President | 10162 154TH RD. NORTH, JUPITER, FL, 33478 |
| Name | Role | Address |
|---|---|---|
| JN-BAPTISTE MICHELLE | Secretary | 10162 154TH RD. NORTH, JUPITER, FL, 33478 |
| Name | Role | Address |
|---|---|---|
| JN-BAPTISTE MICHELLE | Treasurer | 10162 154TH RD. NORTH, JUPITER, FL, 33478 |
| Name | Role | Address |
|---|---|---|
| JN-BAPTISTE MICHELLE | Director | 10162 154TH RD. NORTH, JUPITER, FL, 33478 |
| COX GREGORY | Director | 10162 154TH RD. NORTH, JUPITER, FL, 33478 |
| Name | Role | Address |
|---|---|---|
| COX GREGORY | Vice President | 10162 154TH RD. NORTH, JUPITER, FL, 33478 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2005-04-09 |
| ANNUAL REPORT | 2004-03-05 |
| Domestic Non-Profit | 2003-12-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
