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ELITE DIABETIC HEALTHCARE CORP

Company Details

Entity Name: ELITE DIABETIC HEALTHCARE CORP
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 10 Oct 2022 (2 years ago)
Document Number: P22000077910
FEI/EIN Number 92-0681259
Address: 10675 SW 190 ST, UNIT 1208, MIAMI, FL 33157
Mail Address: 10675 SW 190 ST, UNIT 1208, MIAMI, FL 33157
ZIP code: 33157
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679299010 2022-10-18 2022-10-18 10675 SW 190TH ST STE 1208, CUTLER BAY, FL, 331577712, US 10675 SW 190TH ST STE 1208, CUTLER BAY, FL, 331577712, US

Contacts

Phone +1 601-513-4956

Authorized person

Name WILLIE GIBBS
Role AUTHORIZED OFFICIAL
Phone 6015134956

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
GIBBS, WILLIE Agent 19200 BELVIEW DR, CUTLER BAY, FL 33157

Manager

Name Role Address
GIBBS, WILLIE Manager 19200 BELVIEW DR, CULTLER BAY, FL 33157

Documents

Name Date
ANNUAL REPORT 2024-05-13
AMENDED ANNUAL REPORT 2023-05-11
ANNUAL REPORT 2023-02-24
Domestic Profit 2022-10-10

Date of last update: 11 Feb 2025

Sources: Florida Department of State