| Entity Name: | PROVIDERS HEALTH ALLIANCE 020 JA, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Apr 2024 (10 months ago) |
| Document Number: | P24000026032 |
| Address: | 3379 W WOOLOBRIGHT RD, BOYNTON BEACH, FL, 33436, US |
| Mail Address: | 11924 FOREST HILL BLVD, STE 10A-413, WELLINGTON, FL, 33414, US |
| ZIP code: | 33436 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| ANDERS CHERYL | Agent | 11924 FOREST HILL BLVD, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| ACLOQUE JUDE | President | 3379 W WOOLOBRIGHT RD, BOYNTON BEACH, FL, 33436 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-04-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
