| Entity Name: | POSITIVE SUPPORT SERVICE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Nov 2015 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P15000090534 |
| Address: | 1046 SUMMER GLEN DRIVE, WINTER HAVEN, FL, 33880 |
| Mail Address: | 1046 SUMMER GLEN DRIVE, WINTER HAVEN, FL, 33880 |
| ZIP code: | 33880 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013443712 | 2017-05-02 | 2017-05-02 | 1046 SUMMER GLEN DR, WINTER HAVEN, FL, 338801933, US | 1046 SUMMER GLEN DR, WINTER HAVEN, FL, 338801933, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 863-845-6323 |
Authorized person
| Name | MR. EMBRIGE BEMBRY III |
| Role | MEDICAID WAIVER PROVIDER |
| Phone | 8638456323 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BEMBRY EMBRIGE III | Agent | 1046 SUMMER GLEN DRIVE, WINTER HAVEN, FL, 33880 |
| Name | Role | Address |
|---|---|---|
| BEMBRY EMBRIGE III | President | 1046 SUMMER GLEN DRIVE, WINTER HAVEN, FL, 33880 |
| Name | Role | Address |
|---|---|---|
| BEMBRY TIFFANY F | Vice President | 1046 SUMMER GLEN, WINTER HAVEN, FL, 33880 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2015-11-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
