| Entity Name: | WATT FAMILY CHIROPRACTIC, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Oct 2003 (21 years ago) |
| Document Number: | L03000041051 |
| FEI/EIN Number | 200385767 |
| Address: | 2255 N. WICKHAM ROAD, SUITE 109, MELBOURNE, FL, 32935, US |
| Mail Address: | 2255 N. WICKHAM RD., MELBOURNE, FL, 32935, US |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134252471 | 2007-03-14 | 2009-10-20 | 2255 N. WICKHAM RD #109, MELBOURNE, FL, 32935, US | 2255 N. WICKHAM RD #109, MELBOURNE, FL, 32935, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 321-253-8511 |
| Fax | 3212538711 |
Authorized person
| Name | DR. BRADLEY GEORGE WATT |
| Role | DOCTOR/OWNER |
| Phone | 3212538511 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8029 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7835 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381734200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WATT BRITANEY M | Agent | 2255 N. WICKHAM RD., MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| WATT BRITANEY M | Managing Member | 2255 N. WICKHAM RD., MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| BRADLEY WATT G | Authorized Member | 2255 N. WICKHAM RD, MELBOURNE, FL, 32935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-12 | 2255 N. WICKHAM ROAD, SUITE 109, MELBOURNE, FL 32935 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-12 | 2255 N. WICKHAM ROAD, SUITE 109, MELBOURNE, FL 32935 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-12 | 2255 N. WICKHAM RD., SUITE 109, MELBOURNE, FL 32935 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-07-27 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-02-25 |
| ANNUAL REPORT | 2015-01-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
