| Entity Name: | PROVIDE 4 INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Jun 2011 (14 years ago) |
| Document Number: | P11000058518 |
| FEI/EIN Number | 452608144 |
| Address: | 2419 East Commercial Blvd, FORT LAUDERDALE, FL, 33308, US |
| Mail Address: | 2419 East Commercial Blvd, FORT LAUDERDALE, FL, 33308, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457630972 | 2011-08-15 | 2012-01-20 | 3000 NE 30TH PL, SUITE 408, FORT LAUDERDALE, FL, 333061928, US | 3000 NE 30TH PL, SUITE 408, FORT LAUDERDALE, FL, 333061928, US | |||||||||||||||||
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| Phone | +1 954-800-0108 |
Authorized person
| Name | KACEE ELAINE TANNENBAUM |
| Role | PRESIDENT |
| Phone | 9548000108 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | SW 9879 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TANNENBAUM JAY B | Agent | 2419 East Commercial Blvd, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| TANNENBAUM KACEE | President | 2419 East Commercial Blvd, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| TANNENBAUM JAY | Secretary | 2419 East Commercial Blvd, FORT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-21 | 2419 East Commercial Blvd, Suite 203, FORT LAUDERDALE, FL 33308 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-21 | 2419 East Commercial Blvd, Suite 203, FORT LAUDERDALE, FL 33308 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-21 | 2419 East Commercial Blvd, Suite 203, FORT LAUDERDALE, FL 33308 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-16 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-03-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
