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PARKWAY PREVENTIVE CARE SERVICES PLLC - Florida Company Profile

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Company Details

Entity Name: PARKWAY PREVENTIVE CARE SERVICES PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Jan 2024 (2 years ago)
Document Number: L24000022925
FEI/EIN Number 99-0917293
Address: 3501 KEYSER AVE #35, HOLLYWOOD, FL, 33021, UN
Mail Address: 3501 KEYSER AVE #35, HOLLYWOOD, FL, 33021, UN
ZIP code: 33021
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
STEIN PERRY Agent 3501 KEYSER AVE #35, HOLLYWOOD, FL, 33021
Stein Perry President 3501 Keyser Ave. Apt 35, Hollywood, FL, 33021

National Provider Identifier

NPI Number:
1942099742
Certification Date:
2025-05-06

Authorized Person:

Name:
DR. PERRY J STEIN
Role:
OWNER/AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000050324 OLIVERA HEALTH PCS ACTIVE 2024-04-15 2029-12-31 - 3501 KEYSER AVE #35, HOLLYWOOD, FL, 33021

Documents

Name Date
Florida Limited Liability 2024-01-10

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Date of last update: 02 Jul 2025

Sources: Florida Department of State