| Entity Name: | ELITE GASTRO PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Apr 2023 (2 years ago) |
| Document Number: | L23000183823 |
| FEI/EIN Number | 92-3285496 |
| Address: | 3709 W HAMILTON AVE, UNIT 5, TAMPA, FL 33614 |
| Mail Address: | 19723 WELLINGTON MANOR BLVD, LUTZ, FL 33549 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093410391 | 2023-04-04 | 2023-06-09 | 19723 WELLINGTON MANOR BLVD, LUTZ, FL, 335495011, US | 3709 W HAMILTON AVE STE 5, TAMPA, FL, 336144015, US | |||||||||||||||||
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| Phone | +1 813-932-4430 |
Authorized person
| Name | MINA ELNEMR |
| Role | OWNER |
| Phone | 2394050361 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ELNEMR, MINA | Agent | 19723 WELLINGTON MANOR BLVD, LUTZ, FL 33549 |
| Name | Role | Address |
|---|---|---|
| ELNEMR, MINA | Manager | 19723 WELLINGTON MANOR BLVD, LUTZ, FL 33549 |
| IBRAHIM, MARIAN | Manager | 19723 WELLINGTON MANOR BLVD, LUTZ, FL 33549 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| Florida Limited Liability | 2023-04-13 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
