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ELITE LIFE CHIROPRACTIC, LLC

Company Details

Entity Name: ELITE LIFE CHIROPRACTIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Feb 2015 (10 years ago)
Document Number: L15000020156
FEI/EIN Number 47-3642034
Address: 14422 Shoreside Way Ste 110 PMB:318, Winter Garden, FL, 34787, US
Mail Address: 14422 Shoreside Way Ste 110 PMB:318, Winter Garden, FL, 34787, US
ZIP code: 34787
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194184481 2016-02-16 2023-02-21 2320 NORTH BLVD W STE B, DAVENPORT, FL, 338378961, US 2320 NORTH BLVD W STE B, DAVENPORT, FL, 338378961, US

Contacts

Phone +1 863-226-6300
Fax 8632400920

Authorized person

Name MARGARITA RIVERA
Role AUTHORIZED OFFICIAL
Phone 8632266300

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH11275
State FL
Is Primary Yes

Agent

Name Role Address
MIRANDA LUIS Agent 15684 Shorebird Lane, Winter Garden, FL, 34787

Manager

Name Role Address
Miranda Luis D Manager 15684 Shorebird Lane, Winter Garden, FL, 34787

President

Name Role Address
Cruz Heidyleen DC President 15684 Shorebird LN, Winter Garden, FL, 34787

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-04-08 14422 Shoreside Way Ste 110 PMB:318, Winter Garden, FL 34787 No data
CHANGE OF MAILING ADDRESS 2019-04-08 14422 Shoreside Way Ste 110 PMB:318, Winter Garden, FL 34787 No data
REGISTERED AGENT ADDRESS CHANGED 2019-04-08 15684 Shorebird Lane, Winter Garden, FL 34787 No data

Documents

Name Date
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-14
ANNUAL REPORT 2021-01-20
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-01-29
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-03-28
Florida Limited Liability 2015-02-02

Date of last update: 02 Feb 2025

Sources: Florida Department of State