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WELLNESS ONE CHIROPRACTIC LLC

Company Details

Entity Name: WELLNESS ONE CHIROPRACTIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Jun 2008 (17 years ago)
Document Number: L08000056934
FEI/EIN Number 262894449
Address: 2 Office Park Dr, PALM COAST, FL, 32137, US
Mail Address: 2 Office Park Dr, PALM COAST, FL, 32137, US
ZIP code: 32137
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275798555 2008-07-25 2016-04-25 2 OFFICE PARK DR, STE. A, PALM COAST, FL, 321373854, US 2 OFFICE PARK DR, STE. A, PALM COAST, FL, 321373854, US

Contacts

Phone +1 386-447-9930
Fax 3864479931

Authorized person

Name DR. RAYMOND M PARKHURST
Role PHYSICIAN/OWNER
Phone 3864479930

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH9371
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WELLNESS ONE CHIROPRACTIC LLC 2023 262894449 2024-09-04 WELLNESS ONE CHIROPRACTIC LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-03-01
Business code 621310
Sponsor’s telephone number 3864479930
Plan sponsor’s address 2 OFFICE PARK DR, STE A, PALM COAST, FL, 32137

Signature of

Role Plan administrator
Date 2024-09-04
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
WELLNESS ONE CHIROPRACTIC LLC 2022 262894449 2023-09-10 WELLNESS ONE CHIROPRACTIC LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-03-01
Business code 621310
Sponsor’s telephone number 3864479930
Plan sponsor’s address 2 OFFICE PARK DR, STE A, PALM COAST, FL, 32137

Signature of

Role Plan administrator
Date 2023-09-10
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Parkhurst Amberly Agent 2 Office Park Dr, PALM COAST, FL, 32137

Authorized Member

Name Role Address
PARKHURST RAYMOND M Authorized Member 2 Office Park Dr, PALM COAST, FL, 32137
Amberly Parkhurst Authorized Member 2 Office Park Dr, PALM COAST, FL, 32137

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000075188 WELLGREEN CANNABIS ACTIVE 2021-06-04 2026-12-31 No data 2 OFFICE PARK DR SUITE A, PALM COAST, FL, 32137

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-04-05 Parkhurst, Amberly No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-05 2 Office Park Dr, Suite A, PALM COAST, FL 32137 No data
CHANGE OF PRINCIPAL ADDRESS 2016-04-30 2 Office Park Dr, Suite A, PALM COAST, FL 32137 No data
CHANGE OF MAILING ADDRESS 2016-04-30 2 Office Park Dr, Suite A, PALM COAST, FL 32137 No data

Documents

Name Date
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-03-28
ANNUAL REPORT 2022-04-05
AMENDED ANNUAL REPORT 2021-08-18
ANNUAL REPORT 2021-02-24
ANNUAL REPORT 2020-03-30
ANNUAL REPORT 2019-02-24
ANNUAL REPORT 2018-03-30
ANNUAL REPORT 2017-03-19
ANNUAL REPORT 2016-04-30

Date of last update: 02 Feb 2025

Sources: Florida Department of State