| Entity Name: | ELEVATE MEDICAL FORT MYERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Jun 2020 (5 years ago) |
| Document Number: | L20000160622 |
| FEI/EIN Number | 85-1393721 |
| Address: | 1850 BOY SCOUT DR, SUITE A102, FORT MYERS, FL 33907 |
| Mail Address: | 1850 BOY SCOUT DR, SUITE A102, FORT MYERS, FL 33907 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306461447 | 2020-06-15 | 2020-06-15 | 1850 BOY SCOUT DR STE A102, FORT MYERS, FL, 339072127, US | 1850 BOY SCOUT DR STE A102, FORT MYERS, FL, 339072127, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 662-501-0043 |
| Fax | 6625600161 |
| Phone | +1 870-919-6686 |
Authorized person
| Name | JEREMY MITCHELL |
| Role | OWNER |
| Phone | 8709196686 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEATHERAGE, JASON | Agent | 1850 BOY SCOUT DR, SUITE A102, FORT MYERS, FL 33907 |
| Name | Role | Address |
|---|---|---|
| MITCHELL, JEREMY | Authorized Member | 15526 MARCELLO CIRCLE, NAPLES, FL 34109 |
| DEATHERAGE, JASON | Authorized Member | 19117 COCONUT RD, FORT MYERS, FL 33912 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-05-26 |
| ANNUAL REPORT | 2022-07-14 |
| ANNUAL REPORT | 2021-02-03 |
| Florida Limited Liability | 2020-06-11 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
