| Entity Name: | ELITE MEDICAL SERVICES AT LAKESIDE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Oct 2017 (7 years ago) |
| Document Number: | L17000206681 |
| FEI/EIN Number | 82-3017429 |
| Address: | 39200 Hooker Hwy, C/O Dr Dan Padron, DO Elite Medical Servic, Belle Glade, FL, 33430, US |
| Mail Address: | 17843 SW 88th Place, Palmetto Bay, FL, 33157, US |
| ZIP code: | 33430 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992216568 | 2017-10-23 | 2017-12-12 | PO BOX 12010, DAYTONA BEACH, FL, 321202010, US | LAKESIDE MEDICAL CENTER EMERGENCY DEPARTMENT, 39200 HOOKER HWY, BELLE GLADE, FL, 334305368, US | |||||||||||||||||
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| Phone | +1 386-274-7800 |
| Fax | 3862747801 |
| Phone | +1 561-996-6571 |
Authorized person
| Name | KENNETH A SCHEPPKE |
| Role | PRESIDENT |
| Phone | 5614362291 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FRIEDMAN BRENT A | Agent | 78 SW 7th Street, MIAMI, FL, 33130 |
| Name | Role | Address |
|---|---|---|
| ELITE MEDICAL SPECIALISTS, LLC | Authorized Member | No data |
| Padron Daniel | Authorized Member | 17843 SW 88th Place, Palmetto Bay, FL, 33157 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-07 | 78 SW 7th Street, 8th Floor, MIAMI, FL 33130 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-17 | 39200 Hooker Hwy, C/O Dr Dan Padron, DO Elite Medical Services at Lakeside, Belle Glade, FL 33430 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-17 | 39200 Hooker Hwy, C/O Dr Dan Padron, DO Elite Medical Services at Lakeside, Belle Glade, FL 33430 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-17 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-04-17 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-14 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-09 |
| Florida Limited Liability | 2017-10-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
