| Entity Name: | PHYSICIAN PROVIDERS GROUP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 May 2003 (22 years ago) |
| Document Number: | P03000060632 |
| FEI/EIN Number | 510473464 |
| Address: | 305 S LINE AVENUE, INVERNESS, FL, 34452, US |
| Mail Address: | 305 S Line Ave, Inverness, FL, 34452, US |
| ZIP code: | 34452 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| ULSETH ROBERT M | Agent | 305 S LINE AVENUE, INVERNESS, FL, 34452 |
| Name | Role | Address |
|---|---|---|
| ULSETH ROBERT Dr. | President | 305 S LINE AVENUE, INVERNESS, FL, 34452 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000113931 | COMPREHENSIVE PAIN MANAGEMENT CENTER | ACTIVE | 2012-11-28 | 2027-12-31 | No data | 8 OCALE WAY N, SUMMERFIELD, FL, 34491 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 305 S LINE AVENUE, INVERNESS, FL 34452 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-08-15 | 305 S LINE AVENUE, INVERNESS, FL 34452 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-08-15 | 305 S LINE AVENUE, INVERNESS, FL 34452 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-01 |
| ANNUAL REPORT | 2016-02-25 |
| ANNUAL REPORT | 2015-01-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
