| Entity Name: | PROVIDERS HEALTH ALLIANCE 012 RA, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Mar 2023 (2 years ago) |
| Document Number: | P23000022416 |
| FEI/EIN Number | APPLIED FOR |
| Mail Address: | 11924 FOREST HILL BLVD, STE 10A-413, WELLINGTON, FL 33414 |
| Address: | 12953 PALMS WEST DR, STE 202, LOXAHATCHEE, FL 33470-4992 |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| ANDERS, CHERYL | Agent | 11924 FOREST HILL BLVD, STE 10A-413, WELLINGTON, FL 33414 |
| Name | Role | Address |
|---|---|---|
| ALEMAN CHINEA, RICARDO | President | 12953 PALMS WEST BLVD STE 202, LOXAHATCHEE, FL 33470-4992 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| Domestic Profit | 2023-03-16 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
