| Entity Name: | KEY WEST CHIROPRACTIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Oct 1981 (43 years ago) |
| Document Number: | F50367 |
| FEI/EIN Number | 59-2109024 |
| Address: | 1200 White Street, KEY WEST, FL 33040 |
| Mail Address: | 1200 White Street, KEY WEST, FL 33040 |
| ZIP code: | 33040 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477667129 | 2006-08-19 | 2016-05-09 | 1010 KENNEDY DR. SUITE 401, KEY WEST, FL, 33040, US | 1010 KENNEDY DR STE 401, KEY WEST, FL, 330404134, US | |||||||||||||||||||||||||
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| Phone | +1 305-296-5626 |
| Fax | 3052930010 |
Authorized person
| Name | DR. DEBRA FLYNN |
| Role | PRESIDENT/OWNER |
| Phone | 3052965626 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH2917 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381044500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Laurence, Oliviero | Agent | 1200 White Street, KEY WEST, FL 33040 |
| Name | Role | Address |
|---|---|---|
| Oliviero, Laurence | Director | 1200 White Street, KEY WEST, FL 33040 |
| Name | Role | Address |
|---|---|---|
| Oliviero, Laurence | President | 1200 White Street, KEY WEST, FL 33040 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-28 | Laurence, Oliviero | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-13 | 1200 White Street, KEY WEST, FL 33040 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-13 | 1200 White Street, KEY WEST, FL 33040 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-13 | 1200 White Street, KEY WEST, FL 33040 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| AMENDED ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-03-07 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-01-12 |
| AMENDED ANNUAL REPORT | 2016-05-06 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
