| Entity Name: | PREVALENCE HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Mar 2000 (25 years ago) |
| Branch of: | PREVALENCE HEALTH, LLC, ILLINOIS (Company Number LLC_00134562) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | M00000000620 |
| FEI/EIN Number | 364174656 |
| 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 |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| ANTHONY MICHAEL L | Managing Member | PO BOX 12648, JACKSON, MS, 39236 |
| Name | Role | Address |
|---|---|---|
| EDEKER KWANG | Manager | PO BOX 12648, JACKSON, MS, 39236 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-13 | 2510 DAVIE BOULEVARD, DAVIE, FL 33317 | No data |
| LC NAME CHANGE | 2007-07-30 | PREVALENCE HEALTH, LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2006-01-05 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-01-05 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| CHANGE OF MAILING ADDRESS | 2005-08-23 | 2510 DAVIE BOULEVARD, DAVIE, FL 33317 | No data |
| REINSTATEMENT | 2001-10-22 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2001-09-28 | No data | No data |
| 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 Feb 2025
Sources: Florida Department of State
