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ELITE ENDURANCE PHYSIO, LLC

Company Details

Entity Name: ELITE ENDURANCE PHYSIO, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 May 2021 (4 years ago)
Document Number: L21000211642
FEI/EIN Number 86-3874000
Address: 616 10TH AVE N, JACKSONVILLE BEACH, FL, 32250, UN
Mail Address: 616 10TH AVE N, JACKSONVILLE BEACH, FL, 32250, UN
ZIP code: 32250
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609441989 2021-05-20 2021-05-20 616 10TH AVE N, JACKSONVILLE BEACH, FL, 322504746, US 616 10TH AVE N, JACKSONVILLE BEACH, FL, 322504746, US

Contacts

Phone +1 904-885-6118

Authorized person

Name JOSHUA SMITH
Role PHYSICAL THERAPIST
Phone 9048856118

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
SMITH JOSHUA R Agent 616 10TH AVE N, JACKSONVILLE BEACH, FL, 32250

Manager

Name Role Address
SMITH JOSHUA R Manager 616 10TH AVE N, JACKSONVILLE BEACH, FL, 32250
SMITH JENNIFER L Manager 616 10TH AVE N, JACKSONVILLE BEACH, FL, 32250

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-10-01 616 10TH AVE N, JACKSONVILLE BEACH, FL 32250 UN No data
CHANGE OF MAILING ADDRESS 2025-10-01 616 10TH AVE N, JACKSONVILLE BEACH, FL 32250 UN No data
CHANGE OF PRINCIPAL ADDRESS 2024-10-01 616 10TH AVE N, JACKSONVILLE BEACH, FL 32250 UN No data
CHANGE OF MAILING ADDRESS 2024-10-01 616 10TH AVE N, JACKSONVILLE BEACH, FL 32250 UN No data

Documents

Name Date
ANNUAL REPORT 2024-03-23
ANNUAL REPORT 2023-02-15
ANNUAL REPORT 2022-02-08
Florida Limited Liability 2021-05-06

Date of last update: 01 Feb 2025

Sources: Florida Department of State