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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
BLUM, MICHAEL A | Agent | 2375 SW DEEPWOOD PASS, PALM CITY, FL 34990 |
Name | Role | Address |
---|---|---|
HENKE, JESSICA | Authorized Member | 2341 SE BERKSHIRE BLVD, PORT SAINT LUCIE, FL 34952 |
Name | Role | Address |
---|---|---|
BLUM, MICHAEL A | Manager | 2915 SW POND WAY, PALM CITY, FL 34990 |
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 |
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