| Entity Name: | ROBERT J. RODRIGUEZ, D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Feb 1984 (41 years ago) |
| Document Number: | G85556 |
| FEI/EIN Number | 59-2371599 |
| Address: | 4407 KELLY RD, TAMPA, FL 33615 |
| Mail Address: | 4407 KELLY RD, TAMPA, FL 33615 |
| ZIP code: | 33615 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487928115 | 2012-02-27 | 2012-02-27 | 4407 KELLY RD, TAMPA, FL, 336155203, US | 4407 KELLY RD, TAMPA, FL, 336155203, US | |||||||||||||||||||||||||
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| Phone | +1 813-887-5560 |
| Fax | 8138857123 |
Authorized person
| Name | ROBERT J RODRIGUEZ |
| Role | OWNER/PRESIDENT |
| Phone | 8138875560 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0003444 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381261800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, ROBERT J. | Agent | 4407 KELLY RD, TAMPA, FL 33615 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, ROBERT J. | President | 4407 KELLY RD, TAMPA, FL 33615 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, ROBERT J. | Director | 4407 KELLY RD, TAMPA, FL 33615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2000-04-12 | 4407 KELLY RD, TAMPA, FL 33615 | No data |
| CHANGE OF MAILING ADDRESS | 2000-04-12 | 4407 KELLY RD, TAMPA, FL 33615 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2000-04-12 | 4407 KELLY RD, TAMPA, FL 33615 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-24 |
| ANNUAL REPORT | 2023-02-26 |
| ANNUAL REPORT | 2022-02-05 |
| ANNUAL REPORT | 2021-04-03 |
| ANNUAL REPORT | 2020-03-01 |
| ANNUAL REPORT | 2019-03-31 |
| ANNUAL REPORT | 2018-03-22 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-03-20 |
| ANNUAL REPORT | 2015-06-09 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
