| Entity Name: | DESIGNER BODY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Oct 1986 (38 years ago) |
| Document Number: | J37084 |
| FEI/EIN Number | 650164305 |
| Address: | 4331 N FEDERAL HWY, BOCA RATON, FL, 33431 |
| Mail Address: | 4331 N FEDERAL HWY, BOCA RATON, FL, 33431 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124059902 | 2006-07-06 | 2012-02-24 | 4331 N FEDERAL HWY, BOCA RATON, FL, 334315127, US | 4331 N FEDERAL HWY, BOCA RATON, FL, 334315127, US | |||||||||||||||||||||||||
|
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| Phone | +1 561-391-2221 |
| Fax | 5617508017 |
Authorized person
| Name | DR. GARY L BURNS |
| Role | PRESIDENT |
| Phone | 5613912221 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0004117 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 88983 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BURNS, GARY L. | Agent | 4331 N FEDERAL HWY, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| BURNS, GARY L. | President | 4331 N FEDERAL HWY, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| BURNS, GARY L. | Chairman | 4331 N FEDERAL HWY, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| BURNS, GARY L. | Director | 4331 N FEDERAL HWY, BOCA RATON, FL, 33431 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000021772 | SANCTUARY CHIROPRACTIC & ACUPUNCTURE CENTER | EXPIRED | 2018-02-09 | 2023-12-31 | No data | 4331 N. FEDERAL HIGHWAY, BOCA RATON, FL, 33431 |
| G14000130849 | BOCA RATON CHIROPRACTIC CENTER | EXPIRED | 2014-12-29 | 2019-12-31 | No data | 4331 N. FEDERAL HWY, BOCA RATON, FL, 33431 |
| G09054900640 | DESIGNER BODY INC. | EXPIRED | 2009-02-23 | 2014-12-31 | No data | 4331 N. FEDERAL HWY, BOCA RATON, FL, 33431 |
| G08002700052 | BOCA RATON CHIROPRACTIC CENTER | EXPIRED | 2008-01-02 | 2013-12-31 | No data | 4331 N FEDERAL HWY, BOCA RATON, FL, 33431 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
