| Entity Name: | ERIKA N. BETHUNE, D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 May 1978 (47 years ago) |
| Document Number: | 571848 |
| FEI/EIN Number | 201371607 |
| Address: | 8064 56th Street, Tampa, FL, 33617, US |
| Mail Address: | 8064 56th Street, Tampa, FL, 33617, US |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417133570 | 2008-01-18 | 2008-01-18 | 6406 E FOWLER AVE, SUITE D, TEMPLE TERRACE, FL, 336172400, US | 6406 E FOWLER AVE, SUITE D, TEMPLE TERRACE, FL, 336172400, US | |||||||||||||||||||
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| Phone | +1 813-985-9191 |
| Fax | 8139802354 |
Authorized person
| Name | ERIKA NICOLE BETHUNE |
| Role | PRESIDENT |
| Phone | 8139859191 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0007722 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BETHUNE, ERIKA N., D.C.,P.A. | Agent | 8064 56th Street, Tampa, FL, 33617 |
| Name | Role | Address |
|---|---|---|
| BETHUNE, ERIKA N., D.C. | President | 8064 56th Street, Tampa, FL, 33617 |
| Name | Role | Address |
|---|---|---|
| BETHUNE, ERIKA N., D.C. | Director | 8064 56th Street, Tampa, FL, 33617 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT AND NAME CHANGE | 2004-03-31 | ERIKA N. BETHUNE, D.C., P.A. | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
