| Entity Name: | PREVENTIVE MEDICINE ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Dec 2011 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Mar 2023 (2 years ago) |
| Document Number: | L11000137085 |
| FEI/EIN Number | 300709118 |
| Address: | 4800 SW 198 TERRACE, SOUTHWEST RANCHES, FL, 33332 |
| Mail Address: | 4800 SW 198 TERRACE, SOUTHWEST RANCHES, FL, 33332 |
| ZIP code: | 33332 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093084014 | 2011-12-20 | 2012-02-23 | 4800 SW 198TH TER, SOUTHWEST RANCHES, FL, 333321135, US | 4800 SW 198TH TER, SOUTHWEST RANCHES, FL, 333321135, US | |||||||||||||
|
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| Phone | +1 954-600-9047 |
Authorized person
| Name | DR. CURTIS ERWIN WILKINSON |
| Role | DR |
| Phone | 9546009047 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILKINSON CURTIS E | Agent | 4800 SW 198 TERRACE, SOUTHWEST RANCHES, FL, 33332 |
| Name | Role | Address |
|---|---|---|
| WILKINSON CURTIS E | Manager | 4800 SW 198 TERRACE, SOUTHWEST RANCHES, FL, 33332 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-03-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2019-12-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-05-26 | WILKINSON, CURTIS E | No data |
| REINSTATEMENT | 2013-04-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| REINSTATEMENT | 2023-03-18 |
| REINSTATEMENT | 2020-11-09 |
| REINSTATEMENT | 2019-12-20 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-02-23 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-03-11 |
| ANNUAL REPORT | 2014-05-26 |
| REINSTATEMENT | 2013-04-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
