| Entity Name: | PROVIDER INNOVATIONS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 25 Nov 1996 (28 years ago) |
| Date of dissolution: | 16 Oct 1998 (26 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 16 Oct 1998 (26 years ago) |
| Document Number: | P96000095803 |
| FEI/EIN Number | 65-0733705 |
| Address: | 7150 WEST 20TH AVE., SUITE 412, HIALEAH, FL 33016 |
| Mail Address: | 7150 WEST 20TH AVE., SUITE 412, HIALEAH, FL 33016 |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Name | Role |
|---|---|
| AMERICAN INFORMATION SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| TISCHLER, SAMUEL G | President | 7150 WEST 20TH AVENUE, SUITE 412, HIALEAH, FL 33016 |
| Name | Role | Address |
|---|---|---|
| KOREMAN, NEIL MD | Chairman | 7150 WEST 20TH AVE. SUITE 107, HIALEAH, FL 33016 |
| Name | Role | Address |
|---|---|---|
| ZEQUEIRA, MARCOS MD | Secretary | 7150 WEST 20TH AVE. SUITE 806, HIALEAH, FL 33016 |
| Name | Role | Address |
|---|---|---|
| BERMANN, PEDRO | Treasurer | 2140 W 68 ST. SUITE 2000, HIALEAH, FL 33016 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, ALVARO IMD | Vice Chairman | 7150 WEST 20TH AVE. SUITE 412, HIALEAH, FL 33016 |
| FERNANDEZ, ERIC MD | Vice Chairman | 2140 W 68 ST. SUITE 402, HIALEAH, FL 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
| NAME CHANGE AMENDMENT | 1997-02-13 | PROVIDER INNOVATIONS, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 1997-03-26 |
| AMENDMENT | 1997-02-13 |
| DOCUMENTS PRIOR TO 1997 | 1996-11-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
