| Entity Name: | CAMDEN ELITE CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Jun 2020 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Nov 2024 (3 months ago) |
| Document Number: | L20000148097 |
| FEI/EIN Number | 85-1364228 |
| Address: | 10257 MAGNOLIA RIDGE ROAD, JACKSONVILLE, FL, 32210, UN |
| Mail Address: | 10257 MAGNOLIA RIDGE ROAD, JACKSONVILLE, FL, 32210, UN |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881219277 | 2020-06-11 | 2020-09-12 | 10257 MAGNOLIA RIDGE DR, JACKSONVILLE, FL, 322104991, US | 10257 MAGNOLIA RIDGE DR, JACKSONVILLE, FL, 322104991, US | |||||||||||||||||
|
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| Phone | +1 904-528-6357 |
Authorized person
| Name | LA TOYA DAWSON |
| Role | BILLING DIRECTOR |
| Phone | 3522317551 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GRANT TELISA | Agent | 10257 MAGNOLIA RIDGE ROAD, JACKSONVILLE, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| GRANT TELISA | Chief Executive Officer | 10257 MAGNOLIA RIDGE ROAD, JACKSONVILLE, FL, 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-11-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-11-08 | GRANT, TELISA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-08 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-09 |
| ANNUAL REPORT | 2021-03-07 |
| Florida Limited Liability | 2020-06-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
