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LIFESTYLES CHIROPRACTIC LLC

Company Details

Entity Name: LIFESTYLES CHIROPRACTIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Mar 2006 (19 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 27 Aug 2007 (17 years ago)
Document Number: L06000032759
FEI/EIN Number 204347925
Address: 11300 LINDBERGH BLVD. #110, FT. MYERS, FL, 33913
Mail Address: 11300 LINDBERGH BLVD. #110, FT. MYERS, FL, 33913
ZIP code: 33913
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598820821 2006-12-27 2013-05-14 11300 LINDBERGH BLVD, SUITE 110, FORT MYERS, FL, 339138827, US 11300 LINDBERGH BLVD, SUITE 110, FORT MYERS, FL, 339138827, US

Contacts

Phone +1 239-334-9355
Fax 2393349358

Authorized person

Name DR. TODD E WICKMANN
Role OWNER
Phone 2393349355

Taxonomy

Taxonomy Code 111NS0005X - Sports Physician Chiropractor
License Number CH9155
State FL
Is Primary Yes

Agent

Name Role Address
STOKKE DARIN W Agent 11300 LINDBERGH BLVD. #110, FT. MYERS, FL, 33913

Managing Member

Name Role
LIFESTYLES HEALTHCARE GROUP, P.A. Managing Member

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2018-01-04 STOKKE, DARIN W. No data
CHANGE OF PRINCIPAL ADDRESS 2012-08-13 11300 LINDBERGH BLVD. #110, FT. MYERS, FL 33913 No data
CHANGE OF MAILING ADDRESS 2012-08-13 11300 LINDBERGH BLVD. #110, FT. MYERS, FL 33913 No data
REGISTERED AGENT ADDRESS CHANGED 2012-08-13 11300 LINDBERGH BLVD. #110, FT. MYERS, FL 33913 No data
LC AMENDMENT 2007-08-27 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-27
ANNUAL REPORT 2023-03-15
ANNUAL REPORT 2022-07-14
ANNUAL REPORT 2021-02-16
ANNUAL REPORT 2020-03-30
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-01-04
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-03-09
ANNUAL REPORT 2015-01-07

Date of last update: 03 Feb 2025

Sources: Florida Department of State