Search icon

ELITE PSYCHIATRY SPECIALIST LLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: ELITE PSYCHIATRY SPECIALIST LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 31 May 2022 (3 years ago)
Document Number: L22000248732
FEI/EIN Number 88-2756785
Address: 12724 GRAN BAY PARKWAY W, SUITE 410, JACKSONVILLE, FL, 32258, US
Mail Address: 12724 GRAN BAY PARKWAY W, SUITE 410, JACKSONVILLE, FL, 32258, US
ZIP code: 32258
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BOURASS SOUFYANE Authorized Member 4573 Temple Lakes Dr, Jacksonville, FL, 32257
OCEAN ANDREW Agent 6260 DUPONT STATION COURT E, JACKSONVILLE, FL, 32217

National Provider Identifier

NPI Number:
1326775016
Certification Date:
2023-10-24

Authorized Person:

Name:
MR. BRIAN CLUKIE
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-03-02 12724 GRAN BAY PARKWAY W, SUITE 410, JACKSONVILLE, FL 32258 -
CHANGE OF MAILING ADDRESS 2023-03-02 12724 GRAN BAY PARKWAY W, SUITE 410, JACKSONVILLE, FL 32258 -
REGISTERED AGENT NAME CHANGED 2023-03-02 OCEAN, ANDREW -
REGISTERED AGENT ADDRESS CHANGED 2023-03-02 6260 DUPONT STATION COURT E, SUITE C, JACKSONVILLE, FL 32217 -

Documents

Name Date
ANNUAL REPORT 2024-01-07
ANNUAL REPORT 2023-03-02
Florida Limited Liability 2022-05-31

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 01 Aug 2025

Sources: Florida Department of State