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ADVANCED REGENERATIVE HEALTH LLC - Florida Company Profile

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Company Details

Entity Name: ADVANCED REGENERATIVE HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Feb 2022 (4 years ago)
Document Number: L22000060908
FEI/EIN Number 88-3186024
Address: 1870 N CORPORATE LAKES BLVD, UNIT 267021, WESTON, FL, 33326
Mail Address: 15385 SW 51ST STREET, UNIT 267021, DAVIE, FL, 33331, UN
ZIP code: 33326
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Augustin JORDAN Chief Executive Officer 15385 SW 51st Street, Davie, FL, 33331
Augustin Keziah Chief Operating Officer 15385 SW 51st Street, Davie, FL, 33331
AUGUSTIN JORDAN J Agent 15385 SW 51ST ST, DAVIE, FL, 33331

National Provider Identifier

NPI Number:
1780465559
Certification Date:
2023-10-09

Authorized Person:

Name:
MR. JORDAN AUGUSTIN
Role:
OWNER, CEO
Phone:

Taxonomy:

Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-04-06
Florida Limited Liability 2022-02-04

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Date of last update: 03 Aug 2025

Sources: Florida Department of State