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ELITE RECOVERY & CRYO LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
JORGENSEN MARIA Agent 6952 CHURCH LAKE ST, GROVELAND, FL, 34736

Manager

Name Role Address
JORGENSEN MARIA Manager 6952 CHURCH LAKE ST, GROVELAND, FL, 34736
JORGENSEN MARCUS Manager 6952 CHURCH LAKE ST, GROVELAND, FL, 34736

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-02-15 2410 E SR 50, CLERMONT, FL 34711 No data

Documents

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