Entity Name: | ELP MEDICAL LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 19 May 2022 (3 years ago) |
Document Number: | L22000234632 |
FEI/EIN Number | 88-2068833 |
Address: | 9962 Lago Dr, Boynton Beach, FL, 33472, US |
Mail Address: | 16409 Temple Blvd, Loxahatchee, FL, 33470, US |
ZIP code: | 33472 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1265128540 | 2023-04-11 | 2023-05-03 | 9105 SEDGEWOOD DR, LAKE WORTH, FL, 334676990, US | 9962 LAGO DR, BOYNTON BEACH, FL, 334722770, US | |||||||||||||||
|
Phone | +1 786-707-6416 |
Phone | +1 561-303-5682 |
Authorized person
Name | DR. MARCO MORE |
Role | HEALTHCARE PROVIDER |
Phone | 5613035682 |
Taxonomy
Taxonomy Code | 363L00000X - Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MORE MARCO | Agent | 16409 Temple Blvd, Loxahatchee, FL, 33470 |
Name | Role | Address |
---|---|---|
More Marco | Manager | 16409 Temple Blvd, Loxahatchee, FL, 33470 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2024-02-06 | 9962 Lago Dr, Boynton Beach, FL 33472 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-02-06 | 16409 Temple Blvd, Loxahatchee, FL 33470 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2023-05-11 | 9962 Lago Dr, Boynton Beach, FL 33472 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-06 |
ANNUAL REPORT | 2023-03-31 |
Florida Limited Liability | 2022-05-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State