Licensee Detail

License #:

L108411

Full Name:

PROSPERITY HEALTH LLC

Business Address:

2598 E SUNRISE BLVD SUITE 2104
FORT LAUDERDALE, FL 33304

Mailing Address:

2598 E SUNRISE BLVD SUITE 2104
FORT LAUDERDALE, FL 33304

Email:

INFO@PROSPERITYHEALTHGROUP.COM

Phone:

(954) 892-1092

County:

Broward

NPN #:

19464489

Agent in Charge:

Valid Licenses

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Invalid Licenses

Type	Issue Date	Status
AGENCY LICENSE (2105)	3/31/2020	INVALID

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