| Entity Name: | ADVANCED REGENERATIVE HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Feb 2022 (3 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 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780465559 | 2023-10-09 | 2023-10-09 | 1870 N CORPORATE LAKES BLVD UNIT 267021, WESTON, FL, 333268837, US | 5100 N FEDERAL HWY STE 100, FORT LAUDERDALE, FL, 333083842, US | |||||||||||||||||
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| Phone | +1 754-268-3108 |
Authorized person
| Name | MR. JORDAN AUGUSTIN |
| Role | OWNER, CEO |
| Phone | 9544613172 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| AUGUSTIN, JORDAN J | Agent | 15385 SW 51ST ST, DAVIE, FL 33331 |
| Name | Role | Address |
|---|---|---|
| Augustin, JORDAN | Chief Executive Officer | 15385 SW 51st Street, Davie, FL 33331 |
| Name | Role | Address |
|---|---|---|
| Augustin, Keziah | Chief Operating Officer | 15385 SW 51st Street, Davie, FL 33331 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-04-06 |
| Florida Limited Liability | 2022-02-04 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
