| Entity Name: | MOSCOW CHIROPRACTIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Oct 2004 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Oct 2018 (6 years ago) |
| Document Number: | L04000072221 |
| FEI/EIN Number | 201781179 |
| Address: | 3277 Fruitville Rd., Unit A-2, Sarasota, FL, 34237, US |
| Mail Address: | 3277 Fruitville Rd., Unit A-2, Sarasota, FL, 34237, US |
| ZIP code: | 34237 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457536237 | 2007-12-30 | 2018-03-17 | 1071 S TUTTLE AVE STE 1, SARASOTA, FL, 342378107, US | 1071 S TUTTLE AVE STE 1, SARASOTA, FL, 342378107, US | |||||||||||||||||||||||||
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| Phone | +1 941-954-3700 |
| Fax | 9412968202 |
Authorized person
| Name | LOUISA CHENG MOSCOW |
| Role | OFFICE MANAGER |
| Phone | 9419543700 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8809 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381875600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOSCOW JEFFREY Dr. | Agent | 3277 Fruitville Rd., Unit A-2, Sarasota, FL, 34237 |
| Name | Role | Address |
|---|---|---|
| MOSCOW JEFFREY DR. | Member | 3277 Fruitville Rd., Unit A-2, Sarasota, FL, 34237 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000071063 | DR. MOSCOW & ASSOCIATES | ACTIVE | 2017-06-29 | 2027-12-31 | No data | 3277 FRUITVILLE RD., UNIT A-2, SARASOTA, FL, 34237 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-21 | 3277 Fruitville Rd., Unit A-2, Sarasota, FL 34237 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-21 | 3277 Fruitville Rd., Unit A-2, Sarasota, FL 34237 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-21 | 3277 Fruitville Rd., Unit A-2, Sarasota, FL 34237 | No data |
| REINSTATEMENT | 2018-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2017-06-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-06-27 | MOSCOW, JEFFREY, Dr. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REINSTATEMENT | 2009-01-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-05-10 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-01-30 |
| REINSTATEMENT | 2018-10-01 |
| REINSTATEMENT | 2017-06-27 |
| REINSTATEMENT | 2009-01-16 |
| REINSTATEMENT | 2007-11-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
