| Entity Name: | BARRY GORDON D.C. P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 10 Oct 1978 (46 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | 589488 |
| FEI/EIN Number | 59-1852496 |
| Address: | 1986 31ST AVE, #110, VERO BEACH, FL 32960 |
| Mail Address: | 1986 31ST AVE, #110, VERO BEACH, FL 32960 |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154625978 | 2011-01-08 | 2011-01-08 | 1986 31ST AVE, SUITE 110, VERO BEACH, FL, 329606628, US | 1986 31ST AVE, SUITE 110, VERO BEACH, FL, 329606628, US | |||||||||||||||||||||||||||||||
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| Phone | +1 772-567-3334 |
| Fax | 7725674523 |
Authorized person
| Name | DR. THAD BARRY GORDON |
| Role | PRESIDENT |
| Phone | 7725673334 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH2470 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS/BLUE SHIELS |
| Number | 89915 |
| State | FL |
| Issuer | UNITED HEALTH CARE |
| Number | 4400124 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GORDON, BARRY T | Agent | 1986 31ST AVE, 110, VERO BEAHC, FL 32960 |
| Name | Role | Address |
|---|---|---|
| GORDON, THAD BARRY | President | 1986 31ST AVE, #110 VERO BEACH, FL 32960 |
| Name | Role | Address |
|---|---|---|
| GORDON, THAD BARRY | Secretary | 1986 31ST AVE, #110 VERO BEACH, FL 32960 |
| Name | Role | Address |
|---|---|---|
| GORDON, THAD BARRY | Director | 1986 31ST AVE, #110 VERO BEACH, FL 32960 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-07-13 | 1986 31ST AVE, #110, VERO BEACH, FL 32960 | No data |
| CHANGE OF MAILING ADDRESS | 2007-07-13 | 1986 31ST AVE, #110, VERO BEACH, FL 32960 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-07-13 | 1986 31ST AVE, 110, VERO BEAHC, FL 32960 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-01-29 |
| ANNUAL REPORT | 2012-01-05 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
