| Entity Name: | FLORIDA CHIROPRACTIC & SPORTS REHAB CENTER DAVIE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jul 2007 (18 years ago) |
| Document Number: | L07000072205 |
| FEI/EIN Number | 260513771 |
| Mail Address: | 4830 W Sterling Ranch Cir, Davie, FL, 33314, US |
| Address: | 5400 S University Dr, Davie, FL, 33314, US |
| ZIP code: | 33314 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700077963 | 2007-08-05 | 2014-07-23 | 8325 NW 30TH ST, PEMBROKE PINES, FL, 330243192, US | 350 N PINE ISLAND RD STE 200, PLANTATION, FL, 333241849, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-378-8285 |
| Fax | 9544513948 |
| Fax | 9544049530 |
Authorized person
| Name | DR. ALAN D TESTA |
| Role | CHIROPRACTOR / PARTNER |
| Phone | 9543788285 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7801 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9169 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 9169 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLORIDA CHIROPRACTIC & SPORTS REHAB CENTER DAVIE, LLC 401(K) PLAN | 2023 | 260513771 | 2024-12-09 | FLORIDA CHIROPRACTIC & SPORTS REHAB CENTER DAVIE, LLC | 5 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-12-09 |
| Name of individual signing | ALAN TESTA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621310 |
| Sponsor’s telephone number | 9543788285 |
| Plan sponsor’s address | 350 N. PINE ISLAND ROAD, PLANTATION, FL, 33324 |
Signature of
| Role | Plan administrator |
| Date | 2024-08-01 |
| Name of individual signing | ALAN TESTA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621310 |
| Sponsor’s telephone number | 9543788285 |
| Plan sponsor’s address | 350 N. PINE ISLAND ROAD, PLANTATION, FL, 33324 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-09 |
| Name of individual signing | ALAN TESTA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621310 |
| Sponsor’s telephone number | 9543788285 |
| Plan sponsor’s address | 350 N. PINE ISLAND ROAD, PLANTATION, FL, 33324 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-22 |
| Name of individual signing | ALAN TESTA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| TESTA ALAN D | Agent | 4830 W Sterling Ranch Cir, Davie, FL, 33314 |
| Name | Role | Address |
|---|---|---|
| TESTA ALAN | Manager | 4830 W Sterling Ranch Cir, Davie, FL, 33314 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000052323 | SPORTS CHIRO & REHAB | EXPIRED | 2019-04-29 | 2024-12-31 | No data | 4830 W STERLING RANCH CIRCLE, DAVIE, FL, 33314 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-23 | 5400 S University Dr, 603, Davie, FL 33314 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-22 | 5400 S University Dr, 603, Davie, FL 33314 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-05-03 | 4830 W Sterling Ranch Cir, Davie, FL 33314 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-04-28 | TESTA, ALAN D | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-03-16 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-05-03 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-02-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
