| Entity Name: | ELITE PEDIATRIC HEALTHCARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 16 Sep 2020 (4 years ago) |
| Date of dissolution: | 18 Dec 2022 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Dec 2022 (2 years ago) |
| Document Number: | L20000290704 |
| FEI/EIN Number | 85-3286074 |
| Address: | 673 S. Kings Avenue, Brandon, FL 33511 |
| Mail Address: | 673 S. Kings Avenue, Brandon, FL 33511 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962000174 | 2020-10-12 | 2021-05-08 | 19046 BRUCE B DOWNS BLVD # 1397, TAMPA, FL, 33647, US | 673 S KINGS AVENUE, BRANDON, FL, 33511, US | |||||||||||||
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| Phone | +1 251-610-5615 |
Authorized person
| Name | RHONDA NICHOLS MCGREW |
| Role | NURSE PRACTITIONER/CO-OWNER |
| Phone | 2516105615 |
Taxonomy
| Taxonomy Code | 363LP0200X - Pediatric Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCGREW, RHONDA N | Agent | 2780 E FOWLER AVE, #523, TAMPA, FL 33612 |
| Name | Role | Address |
|---|---|---|
| MCGREW, RHONDA | Authorized Member | 2780 E. Fowler Ave #523, TAMPA, FL 33612-6297 |
| MCGREW, LAWRENCE T | Authorized Member | 2780 E. Fowler Ave #523, TAMPA, FL 33612-6297 |
| Name | Role | Address |
|---|---|---|
| MCGREW, RHONDA | Chief Executive Officer | 2780 E. Fowler Ave #523, TAMPA, FL 33612-6297 |
| Name | Role | Address |
|---|---|---|
| MCGREW, LAWRENCE T | Chief Operating Officer | 2780 E. Fowler Ave #523, TAMPA, FL 33612-6297 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-12-18 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-13 | 673 S. Kings Avenue, Brandon, FL 33511 | No data |
| LC AMENDMENT | 2021-05-06 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-05-03 | 673 S. Kings Avenue, Brandon, FL 33511 | No data |
| LC AMENDMENT AND NAME CHANGE | 2020-11-17 | ELITE PEDIATRIC HEALTHCARE, LLC | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-12-18 |
| ANNUAL REPORT | 2022-04-13 |
| LC Amendment | 2021-05-06 |
| AMENDED ANNUAL REPORT | 2021-05-03 |
| AMENDED ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2021-03-24 |
| LC Amendment and Name Change | 2020-11-17 |
| Florida Limited Liability | 2020-09-16 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
