| Entity Name: | BLUM HEALTH, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Apr 2007 (18 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Nov 2019 (5 years ago) |
| Document Number: | L07000040928 |
| FEI/EIN Number | 208939201 |
| Address: | 6640 103RD STREET, JACKSONVILLE, FL, 32210, US |
| Mail Address: | 6640 103RD STREET, JACKSONVILLE, FL, 32238, US |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811185713 | 2007-10-05 | 2008-07-29 | 12025 SAN JOSE BLVD, SUITE 104, JACKSONVILLE, FL, 32223, US | 12025 SAN JOSE BLVD, SUITE 104, JACKSONVILLE, FL, 32223, US | |||||||||||||||||||||||
|
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| Phone | +1 904-288-8400 |
| Fax | 9042889888 |
Authorized person
| Name | MR. DAVID PHILIP BLUM |
| Role | OWNER |
| Phone | 7725842438 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9336 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WALKER FELECIA L | Agent | 6620 SOUTHPOINT DRIVE S., STE 200, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| BLUM NATHALIE | Manager | 6640 103RD STREET, JACKSONVILLE, FL, 32210 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000003566 | JACKSONVILLE SPINE AND NERVE INSTITUTE | EXPIRED | 2013-01-10 | 2018-12-31 | No data | 6850-2 103RD STREET, JACKSONVILLE, FL, 32210 |
| G11000021809 | GENERATION CHIROPRACTIC INJURY AND REHABILITATION CLINIC | EXPIRED | 2011-02-28 | 2016-12-31 | No data | 6850-2 103RD STREET, JACKSONVILLE, FL, 32210 |
| G08163700022 | GENERATION CHIROPRACTIC | EXPIRED | 2008-06-11 | 2013-12-31 | No data | 3355 CLAIRE LANE #0514, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-22 | 6640 103RD STREET, JACKSONVILLE, FL 32210 | No data |
| REINSTATEMENT | 2019-11-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-05-02 | 6620 SOUTHPOINT DRIVE S., STE 200, JACKSONVILLE, FL 32216 | No data |
| LC AMENDMENT | 2019-05-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-05-02 | WALKER, FELECIA L | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-18 | 6640 103RD STREET, JACKSONVILLE, FL 32210 | No data |
| LC NAME CHANGE | 2014-01-03 | BLUM HEALTH, PLLC | No data |
| LC AMENDMENT | 2007-11-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-02-18 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-01-16 |
| REINSTATEMENT | 2019-11-18 |
| LC Amendment | 2019-05-02 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-01-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
