| Entity Name: | FRALICKER CHIROPRACTIC CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 01 Dec 1988 (36 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Jan 2023 (2 years ago) |
| Document Number: | K49607 |
| FEI/EIN Number | 65-0083741 |
| Address: | 835 CESERY BLVD., JACKSONVILLE, FL 32211 |
| Mail Address: | 835 CESERY BLVD., JACKSONVILLE, FL 32211 |
| ZIP code: | 32211 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427256676 | 2007-07-10 | 2012-01-24 | 835 CESERY BLVD, JACKSONVILLE, FL, 322115605, US | 835 CESERY BLVD, JACKSONVILLE, FL, 322115605, US | |||||||||||||||||||||||
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| Phone | +1 904-745-1444 |
Authorized person
| Name | JANN A FRALICKER |
| Role | DC |
| Phone | 9047451444 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH4436 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381878100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| A Fralicker, Jann ADP | Agent | 835 CESERY BLVD., JACKSONVILLE, FL 32211 |
| Name | Role | Address |
|---|---|---|
| FRALICKER, DEBORAH | Secretary | 835 CESERY BLVD., JACKSONVILLE, FL 32211 |
| Name | Role | Address |
|---|---|---|
| FRALICKER, JANN | Director | 835 CESERY BLVD., JACKSONVILLE, FL 32211 |
| FRALICKER, DEBORAH | Director | 835 CESERY BLVD., JACKSONVILLE, FL 32211 |
| Name | Role | Address |
|---|---|---|
| FRALICKER, JANN | President | 835 CESERY BLVD., JACKSONVILLE, FL 32211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-01-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-12 | A Fralicker, Jann ADP | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-15 | 835 CESERY BLVD., JACKSONVILLE, FL 32211 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-15 | 835 CESERY BLVD., JACKSONVILLE, FL 32211 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-15 | 835 CESERY BLVD., JACKSONVILLE, FL 32211 | No data |
| REINSTATEMENT | 2000-03-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1999-09-24 | No data | No data |
| NAME CHANGE AMENDMENT | 1993-09-29 | FRALICKER CHIROPRACTIC CLINIC, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| REINSTATEMENT | 2023-01-12 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-03-09 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-07 |
| ANNUAL REPORT | 2014-03-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
