| Entity Name: | PORTER ELITE CARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Mar 2020 (5 years ago) |
| Document Number: | L20000092316 |
| FEI/EIN Number | 850565313 |
| Address: | 850 NW FEDERAL HIGHWAY, Ste 215, STUART, FL, 34994, US |
| Mail Address: | 850 NW FEDERAL HIGHWAY, Ste 215, STUART, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841812625 | 2020-05-14 | 2022-09-14 | 789 SW FEDERAL HWY STE 201, STUART, FL, 349942962, US | 789 SW FEDERAL HWY STE 201, STUART, FL, 349942962, US | |||||||||||||||||||||
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| Phone | +1 561-402-1779 |
| Fax | 9496556039 |
Authorized person
| Name | CLAUDIA A PORTER |
| Role | PMHNP |
| Phone | 5614021779 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1104467877 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PORTER CLAUDIA A | Agent | 850 NW FEDERAL HIGHWAY, STUART, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| PORTER CLAUDIA A | Manager | 850 NW FEDERAL HIGHWAY, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-14 | 850 NW FEDERAL HIGHWAY, Ste 215, STUART, FL 34994 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-14 | 850 NW FEDERAL HIGHWAY, Ste 215, STUART, FL 34994 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-14 | 850 NW FEDERAL HIGHWAY, Ste 215, STUART, FL 34994 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-03-04 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-03-05 |
| Florida Limited Liability | 2020-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
