| Entity Name: | INTERNAL MEDICINE PHYSICIANS ELITECARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Nov 2022 (2 years ago) |
| Document Number: | L22000488522 |
| FEI/EIN Number | 83-3411803 |
| Address: | 4927 VAN DYKE ROAD, LUTZ, FL, 33558, US |
| Mail Address: | 4927 VAN DYKE ROAD, LUTZ, FL, 33558, US |
| ZIP code: | 33558 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598475501 | 2022-11-30 | 2022-11-30 | 4927 VAN DYKE RD, LUTZ, FL, 335584813, US | 4927 VAN DYKE RD, LUTZ, FL, 335584813, US | |||||||||||||||
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| Phone | +1 813-480-2892 |
| Fax | 8134285884 |
Authorized person
| Name | IHTASHAM HABIB |
| Role | OWNER |
| Phone | 8134802892 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HABIB IHTASHAM | Agent | 4927 VAN DYKE ROAD, LUTZ, FL, 33558 |
| Name | Role | Address |
|---|---|---|
| HABIB IHTASHAM | Authorized Member | 4927 VAN DYKE ROAD, LUTZ, FL, 33558 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-02-28 |
| Florida Limited Liability | 2022-11-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
