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ELITE VEIN CENTER OF DESTIN, LLC

Headquarter

Company Details

Entity Name: ELITE VEIN CENTER OF DESTIN, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Feb 2004 (21 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 28 Feb 2011 (14 years ago)
Document Number: L04000012181
FEI/EIN Number 200734790
Address: 12671 EMERALD COAST PKWY, STE 210, DESTIN, FL, 32550
Mail Address: 12671 EMERALD COAST PKWY, STE 210, DESTIN, FL, 32550
ZIP code: 32550
County: Walton
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of ELITE VEIN CENTER OF DESTIN, LLC, ALABAMA 000-007-133 ALABAMA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548343098 2006-10-20 2020-08-22 12671 EMERALD COAST PKWY, SUITE 210, DESTIN, FL, 325508300, US 12671 EMERALD COAST PKWY, SUITE 210, DESTIN, FL, 325508300, US

Contacts

Phone +1 850-837-4043
Fax 8508375245

Authorized person

Name DR. JAMES MARCUS JIMENEZ
Role MANAGER
Phone 8508374043

Taxonomy

Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number ME82824
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELITE VEIN CENTER OF DESTIN, LLC 401(K) PROFIT SHARING PLAN 2023 200734790 2024-08-26 ELITE VEIN CENTER OF DESTIN, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8508374043
Plan sponsor’s address 12671 EMERALD COAST PARKWAY, 210, DESTIN, FL, 32550

Signature of

Role Plan administrator
Date 2024-08-27
Name of individual signing JAY JIMENEZ
Valid signature Filed with authorized/valid electronic signature
ELITE VEIN CENTER OF DESTIN, LLC 401(K) PROFIT SHARING PLAN 2022 200734790 2023-10-02 ELITE VEIN CENTER OF DESTIN, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8508374043
Plan sponsor’s address 12671 EMERALD COAST PARKWAY, 210, DESTIN, FL, 32550

Signature of

Role Plan administrator
Date 2023-10-03
Name of individual signing JAY JIMENEZ
Valid signature Filed with authorized/valid electronic signature
ELITE VEIN CENTER OF DESTIN, LLC 401(K) PROFIT SHARING PLAN 2021 200734790 2022-09-22 ELITE VEIN CENTER OF DESTIN, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8508374043
Plan sponsor’s address 12671 EMERALD COAST PARKWAY, 210, DESTIN, FL, 32550

Signature of

Role Plan administrator
Date 2022-09-22
Name of individual signing JAY JIMENEZ
Valid signature Filed with authorized/valid electronic signature
ELITE VEIN CENTER OF DESTIN, LLC 401(K) PROFIT SHARING PLAN 2020 200734790 2021-08-30 ELITE VEIN CENTER OF DESTIN, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8508374043
Plan sponsor’s address 12671 EMERALD COAST PARKWAY, 210, DESTIN, FL, 32550
ELITE VEIN CENTER OF DESTIN, LLC 401(K) PROFIT SHARING PLAN 2019 200734790 2020-07-22 ELITE VEIN CENTER OF DESTIN, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8508374043
Plan sponsor’s address 12671 EMERALD COAST PARKWAY, 210, DESTIN, FL, 32550
ELITE VEIN CENTER OF DESTIN, LLC 401(K) PROFIT SHARING PLAN 2018 200734790 2019-08-13 ELITE VEIN CENTER OF DESTIN, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8508374043
Plan sponsor’s address 12671 EMERALD COAST PARKWAY, 210, DESTIN, FL, 32550
ELITE VEIN CENTER OF DESTIN, LLC 401(K) PROFIT SHARING PLAN 2017 200734790 2018-08-27 ELITE VEIN CENTER OF DESTIN, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8508374043
Plan sponsor’s address 12671 EMERALD COAST PARKWAY, 210, DESTIN, FL, 32550
ELITE VEIN CENTER OF DESTIN, LLC 401(K) PROFIT SHARING PLAN 2016 200734790 2017-07-12 ELITE VEIN CENTER OF DESTIN, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8508374043
Plan sponsor’s address 12671 EMERALD COAST PARKWAY, 210, DESTIN, FL, 32550
ELITE VEIN CENTER OF DESTIN, LLC 401(K) PROFIT SHARING PLAN 2015 200734790 2016-10-13 ELITE VEIN CENTER OF DESTIN, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8508374043
Plan sponsor’s address 12671 EMERALD COAST PARKWAY, 210, DESTIN, FL, 32550
ELITE VEIN CENTER OF DESTIN, LLC 401(K) PROFIT SHARING PLAN 2014 200734790 2015-09-09 ELITE VEIN CENTER OF DESTIN, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 8508374043
Plan sponsor’s address 12671 EMERALD COAST PARKWAY, 210, DESTIN, FL, 32550

Signature of

Role Plan administrator
Date 2015-09-09
Name of individual signing JAY JIMENEZ
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JIMENEZ JAMES Agent 1717 North 12th Avenue, PENSACOLA, FL, 32503

Manager

Name Role Address
JIMENEZ JAMES Manager 1717 North 12th Avenue, PENSACOLA, FL, 32503

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G11000050909 THE VEIN CENTER ACTIVE 2011-05-31 2026-12-31 No data 12671 EMERALD COAST PARKWAY, SUITE 210, DESTIN, FL, 32550
G11000050501 THE VEIN CENTER OF DESTIN EXPIRED 2011-05-27 2016-12-31 No data 12671 EMERALD COAST PARKWAY, SUITE 210, DESTIN, FL, 32550
G11000050502 THE VEIN CENTER OF PENSACOLA ACTIVE 2011-05-27 2026-12-31 No data SUITE 210, SUITE 210, DESTIN, FL, 32550
G11000050504 THE VEIN CENTER OF FOLEY EXPIRED 2011-05-27 2016-12-31 No data 12671 EMERALD COAST PARKWAY, SUITE 210, DESTIN, FL, 32550
G06220900301 THE VEIN CENTER OF FLORIDA ACTIVE 2006-08-08 2026-12-31 No data 12671 EMERALD COAST PARKWAY, SUITE 210, DESTIN, FL, 32550

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2021-03-15 1717 North 12th Avenue, PENSACOLA, FL 32503 No data
REINSTATEMENT 2011-02-28 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2005-01-13 12671 EMERALD COAST PKWY, STE 210, DESTIN, FL 32550 No data
CHANGE OF MAILING ADDRESS 2005-01-13 12671 EMERALD COAST PKWY, STE 210, DESTIN, FL 32550 No data

Documents

Name Date
ANNUAL REPORT 2025-01-15
ANNUAL REPORT 2024-01-25
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-28
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-04-20
ANNUAL REPORT 2019-03-08
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-03-22
ANNUAL REPORT 2016-01-29

Date of last update: 01 Feb 2025

Sources: Florida Department of State