| Entity Name: | CHIROPRACTIC BACK PAIN CLINIC INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 02 Sep 1983 (41 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | G58554 |
| FEI/EIN Number | 59-2324477 |
| Address: | 2645 SW 37TH AVE., STE 704, MIAMI, FL 33133 |
| Mail Address: | 2645 SW 37TH AVE., STE 704, MIAMI, FL 33133 |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437221819 | 2006-11-14 | 2020-08-22 | 1029 MALAGA AVE, CORAL GABLES, FL, 331346318, US | 2645 SW 37TH AVE, SUITE 704, MIAMI, FL, 331332754, US | |||||||||||||||||||||
|
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| Phone | +1 305-448-8251 |
| Phone | +1 305-774-1119 |
| Fax | 3057741141 |
Authorized person
| Name | DR. OCTAVIO P. FERNANDEZ |
| Role | PRESIDENT |
| Phone | 3057746923 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH6723 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| OCTAVIO P. FERNANDEZ D.C., P.A. | Agent |
| Name | Role |
|---|---|
| OCTAVIO P. FERNANDEZ D.C., P.A. | President |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CANCEL ADM DISS/REV | 2009-05-20 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-05-20 | 2645 SW 37TH AVE., STE 704, MIAMI, FL 33133 | No data |
| CHANGE OF MAILING ADDRESS | 2009-05-20 | 2645 SW 37TH AVE., STE 704, MIAMI, FL 33133 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-05-20 | OCTAVIO P. FERNANDEZ D.C., P.A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-05-20 | 2645 SW 37TH AVE., STE 704, MIAMI, FL 33133 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CANCEL ADM DISS/REV | 2006-09-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| REINSTATEMENT | 1997-08-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-04-30 |
| CORAPREIWP | 2009-05-20 |
| ANNUAL REPORT | 2007-04-30 |
| REINSTATEMENT | 2006-09-26 |
| ANNUAL REPORT | 2005-04-29 |
| ANNUAL REPORT | 2004-08-13 |
| ANNUAL REPORT | 2003-04-03 |
| ANNUAL REPORT | 2002-05-05 |
| ANNUAL REPORT | 2001-04-26 |
| ANNUAL REPORT | 2000-04-18 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
