| Entity Name: | ELON HEALTH PRIMARY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ELON HEALTH PRIMARY CARE, 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: | 20 Nov 2023 (a year ago) |
| Document Number: | L23000521319 |
| FEI/EIN Number |
93-4407021
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 43378 US-27, DAVENPORT., FL, FL, 33837, UN |
| Mail Address: | 43378 US-27, DAVENPORT., FL, FL, 33837, UN |
| ZIP code: | 33837 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134986441 | 2024-03-04 | 2024-06-17 | 43378 HIGHWAY 27 STE B, DAVENPORT, FL, 338376816, US | 43378 HIGHWAY 27 STE B, DAVENPORT, FL, 338376816, US | |||||||||||||||||||
|
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| Phone | +1 407-205-6996 |
| Fax | 4078713599 |
Authorized person
| Name | DR. SANDEEP PANDYA |
| Role | MEDICAL DIRECTOR |
| Phone | 4072056996 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CISNEROS LEONARD DO | Manager | 43378 US-27, DAVENPORT., FL, 33837 |
| PANDYA SANDEEP MD | Manager | 43378 US-27, DAVENPORT., FL, 33837 |
| LEMAY BRIAN MS_HCA | Agent | 43378 US-27, DAVENPORT., FL, FL, 33837 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| Florida Limited Liability | 2023-11-20 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
