Entity Name: | ELITE RECOVERY & CRYO LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 27 Nov 2023 (a year ago) |
Document Number: | L23000526399 |
FEI/EIN Number | 990984127 |
Address: | 2410 E SR 50, CLERMONT, FL, 34711, US |
Mail Address: | 6952 CHURCH LAKE ST, GROVELAND, FL, 34736, US |
ZIP code: | 34711 |
County: | Lake |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1134965924 | 2024-07-02 | 2024-07-19 | 6952 CHURCH LAKE ST, GROVELAND, FL, 347368138, US | 2410 E SR 50, CLERMONT, FL, 347116020, US | |||||||||||||
|
Phone | +1 352-459-8148 |
Authorized person
Name | MARCUS JORGENSEN |
Role | OWNER |
Phone | 3524598148 |
Taxonomy
Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
JORGENSEN MARIA | Agent | 6952 CHURCH LAKE ST, GROVELAND, FL, 34736 |
Name | Role | Address |
---|---|---|
JORGENSEN MARIA | Manager | 6952 CHURCH LAKE ST, GROVELAND, FL, 34736 |
JORGENSEN MARCUS | Manager | 6952 CHURCH LAKE ST, GROVELAND, FL, 34736 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-02-15 | 2410 E SR 50, CLERMONT, FL 34711 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-06 |
Florida Limited Liability | 2023-11-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State