| Entity Name: | FIELD CLINIC OF CHIROPRACTIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Sep 1983 (41 years ago) |
| Document Number: | G63245 |
| FEI/EIN Number | 592328754 |
| Address: | 399 Camino Gardens Blvd, Ste 200, BOCA RATON, FL, 33432, US |
| Mail Address: | 399 Camino Gardens Blvd, Ste 200, BOCA RATON, FL, 33432, US |
| ZIP code: | 33432 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568767036 | 2011-01-14 | 2011-01-14 | 1001 SW 2ND AVE, SUITE 1000, BOCA RATON, FL, 334327245, US | 1001 SW 2ND AVE, SUITE 1000, BOCA RATON, FL, 334327245, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-368-0009 |
| Fax | 5613680833 |
Authorized person
| Name | DR. THOMAS JAY FIELD |
| Role | PRESIDENT |
| Phone | 5613680009 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0003405 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FIELD THOMAS J | Agent | 399 Camino Gardens Blvd, Ste 200, BOCA RATON, FL, 33432 |
| Name | Role | Address |
|---|---|---|
| FIELD THOMAS | Director | 399 Camino Gardens Blvd, BOCA RATON, FL, 33432 |
| Name | Role | Address |
|---|---|---|
| FIELD THOMAS | President | 399 Camino Gardens Blvd, BOCA RATON, FL, 33432 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
