| Entity Name: | ELITE INJURY PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Nov 2019 (5 years ago) |
| Document Number: | L19000280808 |
| FEI/EIN Number | 84-4169535 |
| Address: | 4760 East Bay Dr, Clearwater, FL, 33764, US |
| Mail Address: | 4760 East Bay Dr, Clearwater, FL, 33764, US |
| ZIP code: | 33764 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881234169 | 2020-01-14 | 2020-01-14 | 4760 E BAY DR STE C, CLEARWATER, FL, 337645703, US | 4760 E BAY DR STE C, CLEARWATER, FL, 337645703, US | |||||||||||||
|
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| Phone | +1 727-799-2225 |
Authorized person
| Name | DR. DEREK DAMON STEWART JR. |
| Role | OWNER |
| Phone | 7277992225 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Stewart Derek DDr. | Agent | 4760 East Bay Dr, Clearwater, FL, 33764 |
| Name | Role | Address |
|---|---|---|
| Stewart Derek DJr. | Manager | 4760 East Bay Dr, Clearwater, FL, 33764 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000013064 | ELITE HEALTH CENTERS | ACTIVE | 2025-01-29 | 2030-12-31 | No data | 4760 EAST BAY DRIVE, SUITE C, CLEARWATER, FL, 33764 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-29 | Stewart, Derek Damon, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-01 | 4760 East Bay Dr, Suite C, Clearwater, FL 33764 | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-01 | 4760 East Bay Dr, Suite C, Clearwater, FL 33764 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-01 | 4760 East Bay Dr, Suite C, Clearwater, FL 33764 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-02-03 |
| Florida Limited Liability | 2019-11-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
