| Entity Name: | MEDICAID PROVIDER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Oct 2004 (20 years ago) |
| Date of dissolution: | 15 Sep 2006 (18 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 15 Sep 2006 (18 years ago) |
| Document Number: | P04000136988 |
| FEI/EIN Number | 201711424 |
| Address: | 2729 SAND HOLLOW COURT, CLEARWATER, FL, 33761 |
| Mail Address: | 2729 SAND HOLLOW COURT, CLEARWATER, FL, 33761 |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BRITTINGHAM ELAINE E | Agent | 2729 SAND HOLLOW COURT, CLEARWATER, FL, 33761 |
| Name | Role | Address |
|---|---|---|
| BRITTINGHAM ELAINE E | President | 2729 SAND HOLLOW COURT, CLEARWATER, FL, 33761 |
| Name | Role | Address |
|---|---|---|
| KIRT DENISE L | Secretary | 100 GRAND BLVD. #207, TARPON SPRNGS, FL, 34689 |
| Name | Role | Address |
|---|---|---|
| KIRT DENISE L | Treasurer | 100 GRAND BLVD. #207, TARPON SPRNGS, FL, 34689 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2005-03-25 |
| Domestic Profit | 2004-10-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
