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ELITE CARE OF CENTRAL FLORIDA, PLLC

Company Details

Entity Name: ELITE CARE OF CENTRAL FLORIDA, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 05 Nov 2014 (10 years ago)
Date of dissolution: 22 Sep 2017 (7 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (7 years ago)
Document Number: L14000172320
FEI/EIN Number 47-2253928
Address: 410 Lionel Way, Haines City, FL, 33837, US
Mail Address: 410 Lionel Way, Haines City, FL, 33837, US
ZIP code: 33837
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649677592 2014-11-20 2015-02-26 410 LIONEL WAY, SUITE 202, DAVENPORT, FL, 338377803, US 410 LIONEL WAY, SUITE 202, DAVENPORT, FL, 338377803, US

Contacts

Phone +1 863-216-5609
Fax 8638080362

Authorized person

Name RUBEN PEREZ
Role OWNER
Phone 8638750232

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
MADANI SHEADA ESQUIRE Agent 37837 MERIDIAN AVENUE, DADE CITY, FL, 33525

Manager

Name Role Address
PEREZ RUBEN EMD Manager 410 Lionel Way suite 320, davenport, FL, 33837

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data
CHANGE OF PRINCIPAL ADDRESS 2016-03-28 410 Lionel Way, suite 320, Haines City, FL 33837 No data
CHANGE OF MAILING ADDRESS 2016-03-28 410 Lionel Way, suite 320, Haines City, FL 33837 No data

Documents

Name Date
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-01-08
Florida Limited Liability 2014-11-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State