| Entity Name: | ELITE HEALTH AND WELLNESS CLINIC, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 20 Dec 2010 (14 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P10000101921 |
| FEI/EIN Number | 27-4325431 |
| Address: | 114 RONALD ROAD, WEST PARK, FL 33023 |
| Mail Address: | 114 RONALD ROAD, WEST PARK, FL 33023 |
| ZIP code: | 33023 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992009492 | 2010-12-27 | 2010-12-27 | 142 NE 1ST AVE, HALLANDALE BEACH, FL, 330094204, US | 142 NE 1ST AVE, HALLANDALE BEACH, FL, 330094204, US | |||||||||||||||||
|
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| Phone | +1 786-376-0999 |
| Fax | 3056741217 |
Authorized person
| Name | MISS CATINA LOTT |
| Role | PRESIDENT |
| Phone | 7863760999 |
Taxonomy
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ADEJOLA, AMEERAH S | Agent | 2081 CORAL RIDGE DRIVE, CORAL SPRINGS, FL 33071 |
| Name | Role | Address |
|---|---|---|
| EUSTACHE, ANASTHASIA | Vice President | 4906 PEMBROKE ROAD, WEST PARK, FL 33023 |
| Name | Role | Address |
|---|---|---|
| EUSTACHE, ANASTHASIA | Director | 4906 PEMBROKE ROAD, WEST PARK, FL 33023 |
| Name | Role | Address |
|---|---|---|
| EUSTACHE, ANASTHASIA | Treasurer | 4906 PEMBROKE ROAD, WEST PARK, FL 33023 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-30 | 114 RONALD ROAD, WEST PARK, FL 33023 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-30 | 114 RONALD ROAD, WEST PARK, FL 33023 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15000482642 | TERMINATED | 1000000671627 | BROWARD | 2015-04-08 | 2035-04-17 | $ 660.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J13000138017 | TERMINATED | 1000000424398 | BROWARD | 2012-12-20 | 2033-01-16 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| Off/Dir Resignation | 2011-12-19 |
| ANNUAL REPORT | 2011-04-30 |
| AC | 2011-01-04 |
| Domestic Profit | 2010-12-20 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
