| Entity Name: | AQUI CHIROPRACTIC CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Aug 2004 (21 years ago) |
| Document Number: | L04000057135 |
| FEI/EIN Number | 201478407 |
| Address: | 1350 E. MAIN STREET, SUITE B-1, BARTOW, FL, 33830 |
| Mail Address: | 1350 E. MAIN STREET, SUITE B-1, BARTOW, FL, 33830 |
| ZIP code: | 33830 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063626844 | 2007-05-10 | 2013-02-06 | 1350 E MAIN ST STE B-4, BARTOW, FL, 338305064, US | 1350 E MAIN ST STE B-4, BARTOW, FL, 338305064, US | |||||||||||||||||||||||||||||
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| Phone | +1 863-534-3288 |
Authorized person
| Name | ALEXIS G AQUI |
| Role | OWNER |
| Phone | 8635343288 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7980 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381564100 |
| State | FL |
| Issuer | BC BS OF FL |
| Number | 53895 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AQUI ALEXIS GD.C. | Agent | 1350 E. MAIN STREET, BARTOW, FL, 33830 |
| Name | Role | Address |
|---|---|---|
| AQUI ALEXIS GD.C. | Managing Member | 1350 E. MAIN STREET, BARTOW, FL, 33830 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2018-04-30 | AQUI, ALEXIS G, D.C. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-30 | 1350 E. MAIN STREET, SUITE B-1, BARTOW, FL 33830 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-05-08 | 1350 E. MAIN STREET, SUITE B-1, BARTOW, FL 33830 | No data |
| CHANGE OF MAILING ADDRESS | 2007-05-08 | 1350 E. MAIN STREET, SUITE B-1, BARTOW, FL 33830 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
