| Entity Name: | ELITE CARE MEDICAL SUPPLIES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Nov 2018 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 21 Oct 2024 (4 months ago) |
| Document Number: | L18000256590 |
| FEI/EIN Number | 83-2467603 |
| Mail Address: | 6135 Ricker Rd, Jacksonville, FL, 32244, US |
| Address: | 3100 University Blvd South, Suite 109, Jacksonville, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265901110 | 2018-11-21 | 2021-01-12 | 6135 RICKER RD, JACKSONVILLE, FL, 322442605, US | 1890 KINGSLEY AVE STE. 114, ORANGE PARK, FL, 32073, US | |||||||||||||||||||||||
|
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| Phone | +1 904-504-0601 |
| Fax | 8666679488 |
Authorized person
| Name | MR. ELIJAH WALKER II |
| Role | PRESIDENT |
| Phone | 9045040601 |
Taxonomy
| Taxonomy Code | 225000000X - Orthotic Fitter |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Walker II Elijah R | Agent | 1771 Wild Dunes Circle, Orange Park, FL, 32065 |
| Name | Role | Address |
|---|---|---|
| WALKER II ELIJAH R | Authorized Member | 6135 Ricker Rd, Jacksonville, FL, 32244 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-10-30 | Walker II, Elijah R | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-10-30 | 1771 Wild Dunes Circle, Orange Park, FL 32065 | No data |
| REINSTATEMENT | 2024-10-21 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-21 | 3100 University Blvd South, Suite 109, Jacksonville, FL 32216 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-31 | 3100 University Blvd South, Suite 109, Jacksonville, FL 32216 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-30 |
| REINSTATEMENT | 2024-10-21 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-04-18 |
| Florida Limited Liability | 2018-11-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
