| Entity Name: | PROVIDER ENROLLMENT SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Aug 2011 (14 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P11000069630 |
| Address: | 25939 SW 132ND PL, HOMESTEAD, FL, 33032 |
| Mail Address: | 25939 SW 132ND PL, HOMESTEAD, FL, 33032 |
| ZIP code: | 33032 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| BINKER RODOLFO J | Agent | 25939 SW 132ND PL, HOMESTEAD, FL, 33032 |
| Name | Role | Address |
|---|---|---|
| RAMIREZ MARIA E | President | 25939 SW 132ND PL, HOMESTEAD, FL, 33032 |
| Name | Role | Address |
|---|---|---|
| BINKER RODOLFO J | Vice President | 25939 SW 132ND PL, HOMESTEAD, FL, 33032 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2011-08-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
