| Entity Name: | ELITE HEALTH CARE AND WELLNESS SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Aug 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 07 Oct 2022 (2 years ago) |
| Document Number: | L22000338689 |
| FEI/EIN Number | 883631886 |
| Mail Address: | 8736 ESCONDIDO WAY EAST, BOCA RATON, FL, 33433, US |
| Address: | 345 SW 27th Avenue, FT LAUDERDALE, FL, 33312, US |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659085413 | 2023-01-06 | 2024-10-02 | 8736 ESCONDIDO WAY E, BOCA RATON, FL, 334332511, US | 345-347 W 27TH AVENUE, FORT-LAUDERDALE, FL, 33312, US | |||||||||||||||||||||
|
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| Phone | +1 561-674-2881 |
Authorized person
| Name | DR. FLORE JESUCA |
| Role | OWNER |
| Phone | 5616742881 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JESUCA FLORE M | Agent | 8736 ESCONDIDO WAY EAST, BOCA RATON, FL, 33433 |
| Name | Role | Address |
|---|---|---|
| JESUCA FLORE M | Manager | 8736 ESCONDIDO WAY EAST, BOCA RATON, FL, 33433 |
| Name | Role | Address |
|---|---|---|
| Jesuca Yvenet | Vice President | 8736 Escondido Way East, Boca Raton, FL, 33433 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-01 | 345 SW 27th Avenue, FT LAUDERDALE, FL 33312 | No data |
| LC AMENDMENT | 2022-10-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-05-01 |
| LC Amendment | 2022-10-07 |
| Florida Limited Liability | 2022-08-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
