| Entity Name: | PREVALENCE HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Mar 2000 (25 years ago) |
| Branch of: | PREVALENCE HEALTH, LLC, ILLINOIS (Company Number LLC_00134562) |
| Date of dissolution: | 24 Sep 2010 (15 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (15 years ago) |
| Document Number: | M00000000620 |
| FEI/EIN Number |
364174656
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2510 DAVIE BOULEVARD, DAVIE, FL, 33317 |
| Mail Address: | PO BOX 12648, JACKSON, MS, 39236 |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922019421 | 2006-08-10 | 2008-05-20 | PO BOX 12648, JACKSON, MS, 392362648, US | 2501 DAVIE ROAD, SUITE 210, DAVIE, FL, 333177424, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 601-981-0070 |
| Fax | 6019814513 |
| Phone | +1 954-635-6420 |
| Fax | 8663623293 |
Authorized person
| Name | MICHAEL L ANTHONY |
| Role | PRESIDENT |
| Phone | 6019810070 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PH21965 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 1092395 |
| Issuer | MEDICAID |
| Number | 022400600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | - |
| EDEKER KWANG | Manager | PO BOX 12648, JACKSON, MS, 39236 |
| ANTHONY MICHAEL L | Managing Member | PO BOX 12648, JACKSON, MS, 39236 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2010-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-13 | 2510 DAVIE BOULEVARD, DAVIE, FL 33317 | - |
| LC NAME CHANGE | 2007-07-30 | PREVALENCE HEALTH, LLC | - |
| REGISTERED AGENT NAME CHANGED | 2006-01-05 | C T CORPORATION SYSTEM | - |
| REGISTERED AGENT ADDRESS CHANGED | 2006-01-05 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | - |
| CHANGE OF MAILING ADDRESS | 2005-08-23 | 2510 DAVIE BOULEVARD, DAVIE, FL 33317 | - |
| REINSTATEMENT | 2001-10-22 | - | - |
| REVOKED FOR ANNUAL REPORT | 2001-09-28 | - | - |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2011-03-30 |
| ANNUAL REPORT | 2009-03-13 |
| ANNUAL REPORT | 2008-01-11 |
| LC Name Change | 2007-07-30 |
| ANNUAL REPORT | 2007-04-02 |
| ANNUAL REPORT | 2006-01-05 |
| ANNUAL REPORT | 2005-08-23 |
| ANNUAL REPORT | 2004-03-08 |
| ANNUAL REPORT | 2003-09-19 |
| ANNUAL REPORT | 2002-05-22 |
Date of last update: 01 May 2025
Sources: Florida Department of State
