| Entity Name: | NEW SMYRNA BEACH CHIROPRACTIC CLINIC, PLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 May 2007 (18 years ago) |
| Document Number: | L07000049769 |
| FEI/EIN Number | 260146756 |
| Address: | 1205 NORTH DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168 |
| Mail Address: | 1205 NORTH DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168 |
| ZIP code: | 32168 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770785412 | 2007-06-04 | 2011-01-21 | 1205 N DIXIE FWY, NEW SMYRNA BEACH, FL, 321686005, US | 1205 N DIXIE FWY, NEW SMYRNA BEACH, FL, 321686005, US | |||||||||||||||||||
|
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| Phone | +1 386-423-5259 |
| Fax | 3864230929 |
Authorized person
| Name | DR. AMANDA JOY PROKOP |
| Role | MANAGER CHIROPRACTOR |
| Phone | 3864235259 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9205 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PROKOP AMANDA | Agent | 1205 NORTH DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168 |
| Name | Role | Address |
|---|---|---|
| PROKOP AMANDA | Managing Member | 1205 NORTH DIXIE FREEWAY, NEW SMYRNA BEACH, FL, 32168 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2010-05-01 | 1205 NORTH DIXIE FREEWAY, NEW SMYRNA BEACH, FL 32168 | No data |
| CHANGE OF MAILING ADDRESS | 2010-05-01 | 1205 NORTH DIXIE FREEWAY, NEW SMYRNA BEACH, FL 32168 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-05-01 | 1205 NORTH DIXIE FREEWAY, NEW SMYRNA BEACH, FL 32168 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
