| Entity Name: | ELITE MEDICAL PROVIDERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ELITE MEDICAL PROVIDERS 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: | 01 May 2024 (a year ago) |
| Document Number: | L24000203972 |
| Address: | 1701 SE HILLMOOR DRIVE, #17, PORT SAINT LUCIE, FL, 34952 |
| Mail Address: | 3601 NW FEDERAL HIGHWAY, JENSEN BEACH, FL, 34957 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003642877 | 2024-09-10 | 2024-09-10 | 1701 SE HILLMOOR DR # 17, PORT SAINT LUCIE, FL, 349527552, US | 1701 SE HILLMOOR DR # 17, PORT SAINT LUCIE, FL, 349527552, US | |||||||||||||
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| Phone | +1 772-207-0697 |
Authorized person
| Name | FRANCINE COSTELLO |
| Role | ACCOUNTANT |
| Phone | 7725289991 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WATT JASON MD | Manager | 3601 NW FEDERAL HIGHWAY, JENSEN BEACH, FL, 34957 |
| BEISER NICOLE APRN | Manager | 3601 NW FEDERAL HIGHWAY, JENSEN BEACH, FL, 34957 |
| DAWSON JOSE APRN | Manager | 3601 NW FEDERAL HIGHWAY, JENSEN BEACH, FL, 34957 |
| VANDUZER DANIELLE MD | Manager | 3601 NW FEDERAL HIGHWAY, JENSEN BEACH, FL, 34957 |
| COSTELLO FRANCINE CPA | Agent | 106 NW MADISON COURT, PORT SAINT LUCIE, FL, 34986 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-05-01 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
