| Entity Name: | ELIE R. CRYSTAL, D.O., PLLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Jan 2023 (2 years ago) |
| Document Number: | L23000010653 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 4929 SW 74TH CT, 1ST FL, MIAMI, FL, 33155, US |
| Mail Address: | 4929 SW 74TH CT, 1ST FL, MIAMI, FL, 33155, US |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639855042 | 2023-06-22 | 2023-06-22 | 4929 SW 74TH CT FL 1, MIAMI, FL, 331554412, US | 2600 DOUGLAS RD STE 1003, CORAL GABLES, FL, 331346142, US | |||||||||||||
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| Phone | +1 561-428-9270 |
Authorized person
| Name | ELIE CRYSTAL |
| Role | MANAGER |
| Phone | 5614289270 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| CRYSTAL ELIE R | Manager | 4929 SW 74TH CT, MIAMI, FL, 33155 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| Florida Limited Liability | 2023-01-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
