1. Home
  2. Directory
  3. Florida
  4. Lauderhill
  5. Family Medicine
  6. NPI Profile

PREVENTATIVE HEALTHCARE MANAGEMENT
NPI 1124586243
Family Medicine - Adult Medicine in Lauderhill, FL

Active since March 07, 2019
7342 NW 48TH ST, LAUDERHILL, FL 33319(954) 471-3500 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Preventative Healthcare Management NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREVENTATIVE HEALTHCARE MANAGEMENT (NPI 1124586243) is a healthcare organization registered as an adult medicine in Lauderhill, Florida and active in the NPI registry since March 2019. The organization lists Theona A Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1124586243
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NamePREVENTATIVE HEALTHCARE MANAGEMENT
Location Address7342 NW 48TH STLauderhill, FL 33319-3401
Mailing Address7342 Nw 48th StLauderhill, FL 33319-3401 · (954) 471-3500
Phone(954) 471-3500
Organization SubpartNo
Authorized OfficialTheona A JacksonPresident · (954) 471-3500
Enumeration DateMarch 7, 2019
✔ NPI 1124586243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
7342 NW 48TH ST, Lauderhill, FL 33319
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THEONA ALEXEE JACKSON
Nurse Practitioner (Family)
7342 NW 48TH ST
LAUDERHILL, FL 33319
Broward County (954) 471-3500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Preventative Healthcare Management's NPI number?

The NPI number for Preventative Healthcare Management is 1124586243. It was assigned to this organization in the NPPES registry on March 7, 2019.

Where is Preventative Healthcare Management located?

Preventative Healthcare Management is located at 7342 NW 48th St, Lauderhill, FL 33319. The listed phone number is (954) 471-3500.

What is Preventative Healthcare Management's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Preventative Healthcare Management was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.