| Entity Name: | FLORIDA AUTO INJURY AND PAIN CENTER, P.L. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 May 2002 (23 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 10 Oct 2013 (11 years ago) |
| Document Number: | L02000013447 |
| FEI/EIN Number | 470869950 |
| Address: | 654 W. INDIAN TOWN RD., SUITE 107, JUPITER, FL, 33458, US |
| Mail Address: | 654 W. INDIAN TOWN RD., SUITE 107, JUPITER, FL, 33458, US |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649432378 | 2008-06-25 | 2009-01-12 | 601 W INDIANTOWN RD, #2, JUPITER, FL, 334587525, US | 601 W INDIANTOWN RD, #2, JUPITER, FL, 334587525, US | |||||||||||||||||||||||||
|
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| Phone | +1 561-748-2273 |
| Fax | 5617484856 |
Authorized person
| Name | DR. TERRY QUAN |
| Role | OWNER |
| Phone | 5617482273 |
Taxonomy
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| License Number | CH7216 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1821153875 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| QUAN TERRY Dr. | Agent | 654 W. INDIAN TOWN RD., SUITE 107, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| QUAN TERRY Dr. | Manager | 654 W. INDIAN TOWN RD., SUITE 107, JUPITER, FL, 33458 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08308700043 | JUPITER CHIROPRACTIC ACUPUNCTURE AND AUTO INJURY CENTER | ACTIVE | 2008-11-03 | 2028-12-31 | No data | 654 W. INDIANTOWN RD., 107, JUPITER, FL, 33458 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-26 | 654 W. INDIAN TOWN RD., SUITE 107, JUPITER, FL 33458 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-26 | 654 W. INDIAN TOWN RD., SUITE 107, JUPITER, FL 33458 | No data |
| CHANGE OF MAILING ADDRESS | 2014-02-26 | 654 W. INDIAN TOWN RD., SUITE 107, JUPITER, FL 33458 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-02-26 | QUAN, TERRY, Dr. | No data |
| REINSTATEMENT | 2013-10-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2008-11-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-01-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
