| Entity Name: | ELITE SPINE AND WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Mar 2022 (3 years ago) |
| Document Number: | L22000111038 |
| FEI/EIN Number | 881317564 |
| Address: | 499 NW 70TH AVE, PLANTATION, FL, 33317, US |
| Mail Address: | 499 NW 70TH AVE, PLANTATION, FL, 33317, US |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497482988 | 2022-08-04 | 2022-08-04 | 499 NW 70TH AVE STE 200, PLANTATION, FL, 333177578, US | 10244 S US HIGHWAY 1, PORT ST LUCIE, FL, 349525615, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 954-223-5483 |
| Fax | 9542235484 |
Authorized person
| Name | JAHANGIR ASGHAR |
| Role | OWNER |
| Phone | 6105068507 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | No |
| Taxonomy Code | 207XS0117X - Orthopaedic Surgery of the Spine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELITE SPINE 401K | 2023 | 881317564 | 2024-07-13 | ELITE SPINE AND WELLNESS LLC | 5 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-07-13 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ASGHAR JAHANGIR | Agent | 499 NW 70TH AVE, PLANTATION, FL, 33317 |
| Name | Role | Address |
|---|---|---|
| ASGHAR JAHANGIR | Authorized Member | 499 NW 70TH AVE, PLANTATION, FL, 33317 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000100063 | ELITE SPINE HEALTH AND WELLNESS | ACTIVE | 2022-08-24 | 2027-12-31 | No data | 499 NW 70TH AVE, SUITE 200, PLANTATION, FL, 33317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-19 | 499 NW 70TH AVE, SUITE 200, PLANTATION, FL 33317 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-23 | 499 NW 70TH AVE, SUITE 200, PLANTATION, FL 33317 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-23 | 499 NW 70TH AVE, SUITE 200, PLANTATION, FL 33317 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-01-19 |
| Florida Limited Liability | 2022-03-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
