| Entity Name: | ELITE PSYCHIATRY SPECIALIST LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ELITE PSYCHIATRY SPECIALIST LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 31 May 2022 (3 years ago) |
| Document Number: | L22000248732 |
| FEI/EIN Number |
88-2756785
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326775016 | 2022-08-03 | 2023-10-24 | 88 LOCHNAGAR MOUNTAIN DR, SAINT JOHNS, FL, 322596672, US | 88 LOCHNAGAR MOUNTAIN DR, SAINT JOHNS, FL, 322596672, US | |||||||||||||
|
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| Phone | +1 812-870-8683 |
Authorized person
| Name | MR. BRIAN CLUKIE |
| Role | ADMINISTRATOR |
| Phone | 8139972099 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOURASS SOUFYANE | Authorized Member | 88 LOCHNAGAR MOUNTAIN DR, SAINT JOHNS, FL, 32259 |
| OCEAN ANDREW | Agent | 6260 DUPONT STATION COURT E, JACKSONVILLE, FL, 32217 |
| 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 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-07 |
| ANNUAL REPORT | 2023-03-02 |
| Florida Limited Liability | 2022-05-31 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
