MEDICAID PROVIDER INC. is a business entity registered in the state of Florida. It can be found in the register by document number P04000136988. Incorporation date of the company is at 04 October, 2004 and its current status is INACTIVE. Principal address of this company is at 2729 SAND HOLLOW COURT CLEARWATER, FL 33761.
| Company type | Florida Profit Corporation |
|---|---|
| Entity number | P04000136988 |
| FEI/EIN Number | 20-1711424 |
| Date Filled | Oct 4, 2004 |
| Effective Filled | Oct 1, 2004 |
| State | FL |
| Status | Inactive |
| Principal Address | 2729 Sand Hollow Court Clearwater, Fl 33761 |
| Mailing Address | 2729 Sand Hollow Court Clearwater, Fl 33761 |
| Registered Agent | Brittingham, Elaine Ems |
MEDICAID PROVIDER INC. is currently managed by 2 persons. Persons written in the register are BRITTINGHAM, ELAINE E, with the seat at 2729 SAND HOLLOW COURT CLEARWATER, FL 33761, KIRT, DENISE L, with the seat at 100 GRAND BLVD. #207 TARPON SPRNGS, FL 34689.
| BRITTINGHAM, ELAINE E | 2729 Sand Hollow Court Clearwater, Fl 33761 |
|---|---|
| KIRT, DENISE L | 100 Grand Blvd. #207 Tarpon Sprngs, Fl 34689 |
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