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JAYNE KWIATKOWSKI, LLC

Company Details

Entity Name: JAYNE KWIATKOWSKI, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 13 Dec 2007 (17 years ago)
Document Number: L07000123925
FEI/EIN Number 26-1563341
Mail Address: 45 SHADOW CREEK WAY, ORMOND BEACH, FL 32174
Address: 595 West Granada Blvd, STE G, Ormond Beach, FL 32174
ZIP code: 32174
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427466051 2014-07-28 2020-02-26 1414 W GRANADA BLVD STE 3, ORMOND BEACH, FL, 321748104, US 1414 W GRANADA BLVD STE 3, ORMOND BEACH, FL, 321748104, US

Contacts

Phone +1 386-872-5323

Authorized person

Name DR. JAYNE KWIATKOWSKI
Role OWNER/MGR
Phone 3868725323

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
License Number CH9417
State FL
Is Primary Yes

Agent

Name Role Address
KWIATKOWSKI, JAYNE Agent 45 Shadowcreek Way, Ormond Beach, FL 32174

Managing Member

Name Role Address
KWIATKOWSKI, JAYNE Managing Member 45 Shadowcreek Way, Ormond Beach, FL 32174

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000001540 DRUG TESTING OF FLORIDA ACTIVE 2022-01-05 2027-12-31 No data 1420 MASON AVE SUITE 100, DAYTONA BEACH, FL, 32117
G13000121573 TOMOKA SPINE AND POSTURE INSTITUTE EXPIRED 2013-12-12 2018-12-31 No data 208 BOOTH RD, SUITE 1, ORMOND BEACH, FL, 32174
G10000104575 RELIEF CHIROPRACTIC REHABILITATION CENTER EXPIRED 2010-11-15 2015-12-31 No data 1501-103 RIDGEWOOD AVE, HOLLY HILL, FL, 32117
G10000019712 THE CHIROPRACTIC STUDIO AT LONGWOOD REHABILITATION EXPIRED 2010-03-02 2015-12-31 No data 2629 WEST STATE ROAD 434, LONGWOOD, FL, 32779

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-05 595 West Granada Blvd, STE G, Ormond Beach, FL 32174 No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-08 45 Shadowcreek Way, Ormond Beach, FL 32174 No data
CHANGE OF MAILING ADDRESS 2018-05-18 595 West Granada Blvd, STE G, Ormond Beach, FL 32174 No data

Documents

Name Date
ANNUAL REPORT 2024-03-28
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-02-13
ANNUAL REPORT 2019-03-29
ANNUAL REPORT 2018-03-15
ANNUAL REPORT 2017-03-29
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-04-15

Date of last update: 26 Jan 2025

Sources: Florida Department of State