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ELITE HOSPITALISTS, LLC

Company Details

Entity Name: ELITE HOSPITALISTS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 20 Apr 2017 (8 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 21 Aug 2017 (7 years ago)
Document Number: L17000087727
FEI/EIN Number 32-0530781
Address: 579 NW LAKE WHITNEY PLACE, SUITE 101, PORT SAINT LUCIE, FL 34986
Mail Address: 579 NW LAKE WHITNEY PLACE, SUITE 101, PORT SAINT LUCIE, FL 34986
ZIP code: 34986
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346754058 2017-11-17 2022-03-15 579 NW LAKE WHITNEY PLACE, 101, PORT ST LUCIE, FL, 349861622, US 579 NW LAKE WHITNEY PLACE, 101, PORT ST LUCIE, FL, 349861622, US

Contacts

Phone +1 772-249-0260
Fax 7722490137

Authorized person

Name MICHAEL BLUM
Role OWNER
Phone 7722490260

Taxonomy

Taxonomy Code 208M00000X - Hospitalist Physician
License Number OS7680
State FL
Is Primary Yes

Agent

Name Role Address
BLUM, MICHAEL A Agent 2375 SW DEEPWOOD PASS, PALM CITY, FL 34990

Authorized Member

Name Role Address
HENKE, JESSICA Authorized Member 2341 SE BERKSHIRE BLVD, PORT SAINT LUCIE, FL 34952

Manager

Name Role Address
BLUM, MICHAEL A Manager 2915 SW POND WAY, PALM CITY, FL 34990

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-01-23 2375 SW DEEPWOOD PASS, PALM CITY, FL 34990 No data
REGISTERED AGENT NAME CHANGED 2019-04-23 BLUM, MICHAEL A No data
CHANGE OF PRINCIPAL ADDRESS 2018-04-12 579 NW LAKE WHITNEY PLACE, SUITE 101, PORT SAINT LUCIE, FL 34986 No data
CHANGE OF MAILING ADDRESS 2018-04-12 579 NW LAKE WHITNEY PLACE, SUITE 101, PORT SAINT LUCIE, FL 34986 No data
LC AMENDMENT 2017-08-21 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-19
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-02-22
ANNUAL REPORT 2020-04-16
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-12
LC Amendment 2017-08-21
Florida Limited Liability 2017-04-20

Date of last update: 19 Jan 2025

Sources: Florida Department of State