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  5. TREASURE COAST HEALTH SERVICES INC.

TREASURE COAST HEALTH SERVICES INC.

Company Details

Entity Name: TREASURE COAST HEALTH SERVICES INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 18 Aug 2004 (20 years ago)
Document Number: P04000119745
FEI/EIN Number 02-0729293
Address: 622 SE CENTRAL PARKWAY, STUART, FL 34994
Mail Address: 622 SE CENTRAL PARKWAY, STUART, FL 34994
ZIP code: 34994
County: Martin
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942498548 2007-10-09 2007-10-10 622 SE CENTRAL PKWY, STUART, FL, 349943970, US 622 SE CENTRAL PKWY, STUART, FL, 349943970, US

Contacts
Phone +1 772-288-1220
Fax 7722885151

Authorized person
Name DR. DAVID A ELLIOTT
Role OWNER
Phone 7722881220

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
License Number OS6350
State FL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 373111100
State FL
Issuer DR. DAVID ELLIOTT'S NPI #
Number 1811986581
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TREASURE COAST HEALTH SERVICES, INC. 401(K) TRUST 2019 020729293 2020-05-11 TREASURE COAST HEALTH SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722881220
Plan sponsor’s address 622 SE CENTRAL PARKWAY, STUART, FL, 34994
TREASURE COAST HEALTH SERVICES, INC. 401(K) TRUST 2018 020729293 2019-08-08 TREASURE COAST HEALTH SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722881220
Plan sponsor’s address 622 SE CENTRAL PARKWAY, STUART, FL, 34994
TREASURE COAST HEALTH SERVICES, INC. 401(K) TRUST 2017 020729293 2018-02-14 TREASURE COAST HEALTH SERVICES, INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722881220
Plan sponsor’s address 622 SE CENTRAL PARKWAY, STUART, FL, 34994
TREASURE COAST HEALTH SERVICES, INC. 401(K) TRUST 2014 020729293 2015-04-15 TREASURE COAST HEALTH SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722881220
Plan sponsor’s address 622 SE CENTRAL PARKWAY, STUART, FL, 34994
TREASURE COAST HEALTH SERVICES, INC. 401(K) TRUST 2013 020729293 2014-03-28 TREASURE COAST HEALTH SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722881220
Plan sponsor’s address 622 SE CENTRAL PARKWAY, STUART, FL, 34994
TREASURE COAST HEALTH SERVICES, INC. 401(K) TRUST 2012 020729293 2013-05-14 TREASURE COAST HEALTH SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722881220
Plan sponsor’s address 622 SE CENTRAL PARKWAY, STUART, FL, 34994

Signature of
Role Plan administrator
Date 2013-05-14
Name of individual signing DAVID ELLIOTT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-14
Name of individual signing DAVID ELLIOTT
Valid signature Filed with authorized/valid electronic signature
TREASURE COAST HEALTH SERVICES, INC. 401(K) TRUST 2011 020729293 2012-06-04 TREASURE COAST HEALTH SERVICES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722881220
Plan sponsor’s address 622 SE CENTRAL PARKWAY, STUART, FL, 34994

Plan administrator’s name and address
Administrator’s EIN 020729293
Plan administrator’s name TREASURE COAST HEALTH SERVICES, INC.
Plan administrator’s address 622 SE CENTRAL PARKWAY, STUART, FL, 34994
Administrator’s telephone number 7722881220

Signature of
Role Plan administrator
Date 2012-06-04
Name of individual signing DAVID ELLIOTT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-04
Name of individual signing DAVID ELLIOTT
Valid signature Filed with authorized/valid electronic signature
TREASURE COAST HEALTH SERVICES, INC. 401(K) TRUST 2010 020729293 2011-05-04 TREASURE COAST HEALTH SERVICES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722881220
Plan sponsor’s address 622 SE CENTRAL PARKWAY, STUART, FL, 34994

Plan administrator’s name and address
Administrator’s EIN 020729293
Plan administrator’s name TREASURE COAST HEALTH SERVICES, INC.
Plan administrator’s address 622 SE CENTRAL PARKWAY, STUART, FL, 34994
Administrator’s telephone number 7722881220

Signature of
Role Plan administrator
Date 2011-05-04
Name of individual signing DAVID ELLIOTT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-04
Name of individual signing DAVID ELLIOTT
Valid signature Filed with authorized/valid electronic signature
TREASURE COAST HEALTH SERVICES, INC. 401(K) TRUST 2009 020729293 2010-07-29 TREASURE COAST HEALTH SERVICES, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7722881220
Plan sponsor’s address 622 SE CENTRAL PARKWAY, STUART, FL, 34994

Plan administrator’s name and address
Administrator’s EIN 020729293
Plan administrator’s name TREASURE COAST HEALTH SERVICES, INC.
Plan administrator’s address 622 SE CENTRAL PARKWAY, STUART, FL, 34994
Administrator’s telephone number 7722881220

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing DAVID ELLIOTT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-29
Name of individual signing DAVID ELLIOTT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ELLIOTT, DAVID Agent 622 SE CENTRAL PARKWAY, STUART, FL 34994

President

Name Role Address
ELLIOTT, DAVID President 622 SE CENTRAL PARKWAY, STUART, FL 34994

Documents

Name Date
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-03-24
ANNUAL REPORT 2022-04-08
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-04-28
ANNUAL REPORT 2019-04-02
ANNUAL REPORT 2018-03-21
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-03-28
ANNUAL REPORT 2015-02-05

Related by officers

ELLIOTT, DAVID

COASTAL PALMS PROPERTIES LLC DCE CONSTRUCTION LLC CARE LANDSCAPES LLC DAVID ELLIOTT, LLC TIN ROOF SHACK, LLC MACCO LLC E2 PROPERTIES LLC AEGIS WEATHER LLC 2D SALES LLC LEGION MEDIA LLC

Related by address

622 SE CENTRAL PARKWAY, STUART, FL 34994

COASTAL PALMS PROPERTIES LLC PALM BREEZE PROPERTIES, LC

622 SE CENTRAL PARKWAY, STUART, FL 34994

COASTAL PALMS PROPERTIES LLC PALM BREEZE PROPERTIES, LC

Date of last update: 29 Jan 2025

Sources: Florida Department of State

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