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PREVENTATIVE HEALTHCARE MANAGEMENT, LLC - Florida Company Profile

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Company Details

Entity Name: PREVENTATIVE HEALTHCARE MANAGEMENT, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Jan 2019 (7 years ago)
Document Number: L19000024275
FEI/EIN Number 83-3468049
Address: 7342 NW 48 ST, LAUDERHILL, FL, 33319
Mail Address: 7342 NW 48 ST, LAUDERHILL, FL, 33319
ZIP code: 33319
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JACKSON THEONA Manager 7342 NW 48 ST, LAUDERHILL, FL, 33319
JACKSON THEONA Agent 7342 NW 48 ST, LAUDERHILL, FL, 33319

National Provider Identifier

NPI Number:
1124586243

Authorized Person:

Name:
THEONA A JACKSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000083258 OPTIMUM BODY REJUVENATION ACTIVE 2022-07-13 2027-12-31 - 7342 NW 48TH STREET, LAUDERHILL, FL, 33319

Documents

Name Date
ANNUAL REPORT 2024-04-28
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-03-25
ANNUAL REPORT 2021-02-21
ANNUAL REPORT 2020-03-19
Florida Limited Liability 2019-01-23

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Date of last update: 02 Aug 2025

Sources: Florida Department of State