| Entity Name: | STEVENS FAMILY CHIROPRACTIC, P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Aug 2000 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Oct 2020 (4 years ago) |
| Document Number: | L00000009909 |
| FEI/EIN Number | 65-1032245 |
| Address: | 14090 METROPOLIS AVENUE, UNIT 101, FORT MYERS, FL 33912-4451 |
| Mail Address: | 14090 METROPOLIS AVENUE, UNIT 101, FORT MYERS, FL 33912-4451 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639339559 | 2008-06-13 | 2008-06-13 | 14090 METROPOLIS AVE, STE 101, FORT MYERS, FL, 339124450, US | 14090 METROPOLIS AVE, STE 101, FORT MYERS, FL, 339124450, US | |||||||||||||||||||||||||||||||
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| Phone | +1 239-489-4100 |
| Fax | 2394891314 |
Authorized person
| Name | DR. LINDA DOROTHY STEVENS |
| Role | CEO |
| Phone | 2394894100 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH 7948 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD OF FLORIDA |
| Number | 53890 |
| State | FL |
| Issuer | CIGNA |
| Number | 8197780 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STEVENS, LINDA | Agent | 1225 KITTIWAKE CIRCLE, SANIBEL, FL 33957 |
| Name | Role | Address |
|---|---|---|
| STEVENS, LINDA | President | 1225 KITTIWAKE CIRCLE, SANIBEL, FL 33957 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-10-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-12 | STEVENS, LINDA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-01-19 | 14090 METROPOLIS AVENUE, UNIT 101, FORT MYERS, FL 33912-4451 | No data |
| CHANGE OF MAILING ADDRESS | 2009-01-19 | 14090 METROPOLIS AVENUE, UNIT 101, FORT MYERS, FL 33912-4451 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-04-06 |
| REINSTATEMENT | 2020-10-12 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-02-20 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-02-05 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
