| Entity Name: | LONG FAMILY CHIROPRACTIC CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 May 2008 (17 years ago) |
| Date of dissolution: | 24 Feb 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Feb 2016 (9 years ago) |
| Document Number: | L08000050999 |
| FEI/EIN Number | 113841077 |
| Address: | 1809 EDGEWATER DR, ORLANDO, FL, 32804 |
| Mail Address: | 1809 EDGEWATER DR, ORLANDO, FL, 32804 |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790059418 | 2012-02-27 | 2012-02-27 | 604 N THORNTON AVE, ORLANDO, FL, 328034634, US | 604 N THORNTON AVE, ORLANDO, FL, 328034634, US | |||||||||||||||||||||||
|
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| Phone | +1 407-425-3555 |
Authorized person
| Name | DR. YEN K NGUYEN |
| Role | DIRECTOR |
| Phone | 4074253555 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | CH8154 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001930000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NGUYEN YEN K | Agent | 393 WINCHESTER CT, LONGWOOD, FL, 32779 |
| Name | Role | Address |
|---|---|---|
| NGUYEN YEN | Director | 1809 Edgewater Dr., ORLANDO, FL, 32804 |
| Name | Role | Address |
|---|---|---|
| NGUYEN YEN | Chairman | 1809 Edgewater Dr., ORLANDO, FL, 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-02-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-09-11 | 1809 EDGEWATER DR, ORLANDO, FL 32804 | No data |
| CHANGE OF MAILING ADDRESS | 2012-09-11 | 1809 EDGEWATER DR, ORLANDO, FL 32804 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-02-02 | 393 WINCHESTER CT, LONGWOOD, FL 32779 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-02-24 |
| ANNUAL REPORT | 2015-02-26 |
| ANNUAL REPORT | 2014-03-19 |
| ANNUAL REPORT | 2013-02-28 |
| ANNUAL REPORT | 2012-02-02 |
| ANNUAL REPORT | 2011-03-10 |
| ANNUAL REPORT | 2010-02-16 |
| ANNUAL REPORT | 2009-03-27 |
| Florida Limited Liability | 2008-05-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
