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ELITE RELIEF MD PLLC

Company Details

Entity Name: ELITE RELIEF MD PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Nov 2023 (a year ago)
Document Number: L23000522479
FEI/EIN Number 93-4566592
Address: 7740 NOVA DR, B4, DAVIE, FL, 33324
Mail Address: 7740 NOVA DR, B4, DAVIE, FL, 33324
ZIP code: 33324
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447029947 2023-12-26 2024-03-21 7740 NOVA DR STE B4, DAVIE, FL, 333245802, US 7740 NOVA DR STE B4, DAVIE, FL, 333245802, US

Contacts

Phone +1 754-200-6410
Fax 7542006411

Authorized person

Name KELLY U DESOUZA
Role PHYSICIAN
Phone 7542006410

Taxonomy

Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary Yes

Agent

Name Role Address
GADDY STEVEN H Agent 7740 Nova Dr, Davie, FL, 33324

Manager

Name Role Address
Kelly Desouza Gaddy Revocable Trust Manager 7740 NOVA DR #B4, DAVIE, FL, 33324

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-02-05 7740 Nova Dr, B4, Davie, FL 33324 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
Florida Limited Liability 2023-11-27

Date of last update: 03 Feb 2025

Sources: Florida Department of State