| Entity Name: | ACHIEVING WELLNESS CHIROPRACTIC CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Feb 2005 (20 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 04 Mar 2005 (20 years ago) |
| Document Number: | L05000013696 |
| FEI/EIN Number | 20-2306175 |
| Address: | 304 NW Bethany Dr., Pt. St Lucie, FL 34986 |
| Mail Address: | 304 NW Bethany Dr., Pt. St Lucie, FL 34986 |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992993471 | 2007-10-09 | 2010-02-25 | PO BOX 881946, PORT ST LUCIE, FL, 349881946, US | 776 W MIDWAY RD, FORT PIERCE, FL, 349824203, US | |||||||||||||||||||||||
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| Phone | +1 772-460-7999 |
Authorized person
| Name | DR. KERRI E WARD |
| Role | OWNER/DOCTOR |
| Phone | 7724607999 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8374 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381511100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WARD, KERRI E | Agent | 304 NW Bethany Dr., Pt. St Lucie, FL 34986 |
| Name | Role | Address |
|---|---|---|
| WARD, KERRI E | Manager | 304 NW Bethany Dr., Pt. St Lucie, FL 34986 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2013-02-20 | 304 NW Bethany Dr., Pt. St Lucie, FL 34986 | No data |
| CHANGE OF MAILING ADDRESS | 2013-02-20 | 304 NW Bethany Dr., Pt. St Lucie, FL 34986 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-20 | 304 NW Bethany Dr., Pt. St Lucie, FL 34986 | No data |
| NAME CHANGE AMENDMENT | 2005-03-04 | ACHIEVING WELLNESS CHIROPRACTIC CENTER, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-07-27 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-06 |
| ANNUAL REPORT | 2018-04-21 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-04-17 |
| ANNUAL REPORT | 2015-04-20 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
