| Entity Name: | ELITE HEALTHCARE OF THE PALM BEACHES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 09 Nov 2004 (20 years ago) |
| Date of dissolution: | 15 Sep 2006 (18 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 15 Sep 2006 (18 years ago) |
| Document Number: | P04000153423 |
| FEI/EIN Number | 20-1852288 |
| Address: | 10111 FOREST HILL BLVD, 221, WELLINGTON, FL 33414 |
| Mail Address: | PO BOX 210114, ROYAL PALM BEACH, FL 33421 |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053451823 | 2007-02-08 | 2020-08-22 | 1157 S STATE ROAD 7, WELLINGTON, FL, 334146101, US | 1157 S STATE ROAD 7, WELLINGTON, FL, 334146101, US | |||||||||||||||||
|
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| Phone | +1 561-267-4701 |
Authorized person
| Name | PEDRO NAM |
| Role | OWNER |
| Phone | 5612674701 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME87614 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NAM, PEDRO | Agent | 9038 WELLINGTON, FLORIDA, FL 33414 |
| Name | Role | Address |
|---|---|---|
| NAM, PEDRO | President | 10111 FOREST HILL BLVD. SUITE 221, WELLINGTON, FL 33414 |
| Name | Role | Address |
|---|---|---|
| NAM, ADRIANA | Vice President | 9038 ALEXANDRA CIRCLE, WELLINGTON, FL 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-11 | 9038 WELLINGTON, FLORIDA, FL 33414 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2005-04-11 |
| Domestic Profit | 2004-11-09 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
