| Entity Name: | ELEVATE YOUR EXISTENCE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Jun 2015 (10 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 19 Dec 2018 (6 years ago) |
| Document Number: | L15000111860 |
| FEI/EIN Number | 47-4462865 |
| Address: | 3056 SATILLA LOOP, Odessa, FL, 33556, US |
| Mail Address: | 3056 SATILLA LOOP, ODESSA, FL, 33556, US |
| ZIP code: | 33556 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164935474 | 2017-11-08 | 2021-05-30 | 3056 SATILLA LOOP, ODESSA, FL, 335562739, US | 8150 CITRUS PARK TOWN CENTER MALL SPC 1100, TAMPA, FL, 336253181, US | |||||||||||||||||||||||||||
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| Phone | +1 954-696-3288 |
| Phone | +1 813-920-6824 |
| Fax | 8139206619 |
Authorized person
| Name | DR. BRADLEY AUSTIN |
| Role | OWNER |
| Phone | 9546963288 |
Taxonomy
| Taxonomy Code | 152W00000X - Optometrist |
| License Number | 4928 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014824000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AUSTIN BRADLEY C | Agent | 3056 SATILLA LOOP, ODESSA, FL, 33556 |
| Name | Role | Address |
|---|---|---|
| AUSTIN BRADLEY C | Chief Executive Officer | 3056 SATILLA LOOP, ODESSA, FL, 33556 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-26 | 3056 SATILLA LOOP, Odessa, FL 33556 | No data |
| LC AMENDMENT AND NAME CHANGE | 2018-12-19 | ELEVATE YOUR EXISTENCE, LLC | No data |
| CHANGE OF MAILING ADDRESS | 2018-12-19 | 3056 SATILLA LOOP, Odessa, FL 33556 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-05-06 | 3056 SATILLA LOOP, ODESSA, FL 33556 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-02-16 | AUSTIN, BRADLEY C | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-31 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-03-26 |
| ANNUAL REPORT | 2020-05-26 |
| ANNUAL REPORT | 2019-04-22 |
| LC Amendment and Name Change | 2018-12-19 |
| ANNUAL REPORT | 2018-05-06 |
| ANNUAL REPORT | 2017-04-01 |
| ANNUAL REPORT | 2016-02-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
