| Entity Name: | ELITE MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Jun 2020 (5 years ago) |
| Document Number: | L20000177666 |
| FEI/EIN Number | 85-1760637 |
| Address: | 3577 GRANDE TUSCANY WAY, NEW SMYRNA BEACH, FL, 32168, US |
| Mail Address: | 3577 GRANDE TUSCANY WAY, NEW SMYRNA BEACH, FL, 32168, US |
| ZIP code: | 32168 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639226830 | 2007-01-03 | 2020-08-22 | 1776 N PINE ISLAND RD, SUITE 101, PLANTATION, FL, 333225233, US | 1700 N DIXIE HWY, SUITE 127, BOCA RATON, FL, 334321850, US | |||||||||||||||||
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| Phone | +1 561-447-9360 |
Authorized person
| Name | VIVIAN KAPLAN |
| Role | PRESIDENT |
| Phone | 9545818700 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | 6230 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KWONG CHUNI G | Agent | 3577 GRANDE TUSCANY WAY, NEW SMYRNA BEACH, FL, 32168 |
| Name | Role | Address |
|---|---|---|
| KWONG CHUNI G | Manager | 3577 GRANDE TUSCANY WAY, NEW SMYRNA BEACH, FL, 32168 |
| KWONG RYAN M | Manager | 3577 GRANDE TUSCANY WAY, NEW SMYRNA BEACH, FL, 32168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-21 | 3577 GRANDE TUSCANY WAY, NEW SMYRNA BEACH, FL 32168 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-21 | 3577 GRANDE TUSCANY WAY, NEW SMYRNA BEACH, FL 32168 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-02-21 |
| Florida Limited Liability | 2020-06-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
