| Entity Name: | CORDERO CHIROPRACTIC & ASSOCIATES, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Sep 2006 (18 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | L06000090989 |
| FEI/EIN Number | 205556318 |
| Mail Address: | 3208 LANTANA ROAD, LANTANA, FL, 33462 |
| Address: | 650 ROYAL PALM BEACH BLVD., SUITE 7, ROYAL PALM BEACH, FL, 33441 |
| ZIP code: | 33441 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699837641 | 2006-12-15 | 2008-05-14 | 650 ROYAL PALM BEACH BLVD STE 7, ROYAL PALM BEACH, FL, 334117661, US | 650 ROYAL PALM BEACH BLVD STE 7, ROYAL PALM BEACH, FL, 334117661, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-795-3156 |
| Fax | 5617953126 |
Authorized person
| Name | MRS. DEBRA A CORDERO |
| Role | OFFICE MANAGER |
| Phone | 5613896829 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0006930 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DR JOHN TERRANOVA |
| Number | 1407819675 |
| State | FL |
| Issuer | DR EDWIN CORDERO |
| Number | 1891784583 |
| State | FL |
| Issuer | MEDICAID |
| Number | 380743600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CORDERO DEBRA | Agent | 650 ROYAL PALM BEACH BLVD., SUITE 7, ROYAL PALM BEACH, FL, 33411 |
| Name | Role | Address |
|---|---|---|
| EDWIN CORDERO, P.A. | Manager | 3208 LANTANA ROAD, LANTANA, FL, 33462 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REINSTATEMENT | 2008-04-17 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-17 | 650 ROYAL PALM BEACH BLVD., SUITE 7, ROYAL PALM BEACH, FL 33441 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-17 | 650 ROYAL PALM BEACH BLVD., SUITE 7, ROYAL PALM BEACH, FL 33411 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| LC AMENDMENT | 2006-10-27 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2008-04-17 |
| LC Amendment | 2006-10-27 |
| Florida Limited Liability | 2006-09-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
