| Entity Name: | ELITE MEDICAL GRP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Aug 2020 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 Dec 2022 (2 years ago) |
| Document Number: | L20000258200 |
| FEI/EIN Number | 85-2774335 |
| Address: | 280 Patterson rd, Suite 3, Haines city, FL 33844 |
| Mail Address: | 280 Patterson rd, Suite 3, Haines city, FL 33844 |
| ZIP code: | 33844 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922613637 | 2020-09-09 | 2020-09-10 | 280 PATTERSON RD STE 3, HAINES CITY, FL, 338446261, US | 280 PATTERSON RD STE 3, HAINES CITY, FL, 338446261, US | |||||||||||||||||
|
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| Phone | +1 407-607-0099 |
Authorized person
| Name | DR. MOHAMED TARIQ INSHAN |
| Role | DC |
| Phone | 4076070099 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Memon, Zahid | Agent | 9382 Wickham Way, Orlando, FL 32836, orlando, Fl 32836, FL 32836 |
| Name | Role |
|---|---|
| MEMON FAMILY TRUST LLC | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 280 Patterson rd, Suite 3, Haines city, FL 33844 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 280 Patterson rd, Suite 3, Haines city, FL 33844 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 9382 Wickham Way, Orlando, FL 32836, orlando, Fl 32836, FL 32836 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-09 | Memon, Zahid | No data |
| REINSTATEMENT | 2022-12-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-01-09 |
| REINSTATEMENT | 2022-12-13 |
| ANNUAL REPORT | 2021-01-30 |
| Florida Limited Liability | 2020-08-20 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
