| Entity Name: | ELITE CLINICAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Nov 2018 (6 years ago) |
| Last Event: | LC REVOCATION OF DISSOLUTION |
| Event Date Filed: | 03 May 2024 (9 months ago) |
| Document Number: | L18000275012 |
| FEI/EIN Number | 83-2693585 |
| Address: | 3601 NW FEDERAL HIGHWAY, JENSEN BEACH, FL 34957 |
| Mail Address: | 3601 NW FEDERAL HIGHWAY, JENSEN BEACH, FL 34957 |
| ZIP code: | 34957 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154895878 | 2019-01-16 | 2019-01-16 | 3601 NW FEDERAL HWY, JENSEN BEACH, FL, 349573676, US | 3601 NW FEDERAL HWY, JENSEN BEACH, FL, 349573676, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 772-218-0977 |
Authorized person
| Name | JASON WATT |
| Role | PARTNER |
| Phone | 7722180977 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| VERMA, RAJAT | Agent | 2889 BELLAROSA CIR, ROYAL PALM BEACH, FL 33411 |
| Name | Role | Address |
|---|---|---|
| WATT, JASON AINSWORTH III, Dr. | President | 3601 NW Federal Highway, Jensen Beach, FL 34957 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000056047 | ELITE MEDICAL PROVIDERS | ACTIVE | 2024-04-28 | 2029-12-31 | No data | 1701 SE HILLMOOR DRIVE, SUITE 16, PORT SAINT LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-07-15 | VERMA, RAJAT | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-15 | 2889 BELLAROSA CIR, ROYAL PALM BEACH, FL 33411 | No data |
| LC REVOCATION OF DISSOLUTION | 2024-05-03 | No data | No data |
| VOLUNTARY DISSOLUTION | 2024-04-29 | No data | No data |
| LC AMENDMENT | 2019-08-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-15 |
| LC Revocation of Dissolution | 2024-05-03 |
| VOLUNTARY DISSOLUTION | 2024-04-29 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-04-28 |
| LC Amendment | 2019-08-09 |
| ANNUAL REPORT | 2019-05-10 |
| Florida Limited Liability | 2018-11-28 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
