| Entity Name: | FLORIDA PROVIDERS BILLING SERVICE, CO |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Feb 2013 (12 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P13000014817 |
| FEI/EIN Number | 46-2010226 |
| Address: | 1355 PHYLLIS DR, MERRITT ISLAND, FL, 32952 |
| Mail Address: | 1355 PHYLLIS DR, MERRITT ISLAND, FL, 32952 |
| ZIP code: | 32952 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639418445 | 2013-02-14 | 2013-02-14 | 1355 PHYLLIS DR, MERRITT ISLAND, FL, 329525841, US | 1355 PHYLLIS DR, MERRITT ISLAND, FL, 329525841, US | |||||||||||||||
|
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| Phone | +1 321-614-1379 |
| Fax | 3214522720 |
Authorized person
| Name | ROBERT A SCHREIBER |
| Role | PRESIDENT |
| Phone | 3216141379 |
Taxonomy
| Taxonomy Code | 247200000X - Other Technician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SCHREIBER ROBERT A | Agent | 1355 PHYLLIS DR, MERRITT ISLAND, FL, 32952 |
| Name | Role | Address |
|---|---|---|
| SCHREIBER ROBERT A | President | 1355 PHYLLIS DR, MERRITT ISLAND, FL, 32952 |
| Name | Role | Address |
|---|---|---|
| FAZIO KARL M | Vice President | 530 TIMUQUANA DR, MERRITT ISLAND, FL, 32953 |
| FAZIO HEATHER M | Vice President | 530 TIMUQUANA DR, MERRITT ISLAND, FL, 32953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-02-19 |
| Domestic Profit | 2013-02-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
