| Entity Name: | ED BARKER, D.C., LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Mar 2009 (16 years ago) |
| Document Number: | L09000021705 |
| FEI/EIN Number | 264416443 |
| Address: | 7975 Dunstable Circle, Orlando, FL, 32817, US |
| Mail Address: | 7975 Dunstable Circle, Orlando, FL, 32817, US |
| ZIP code: | 32817 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174764468 | 2009-03-16 | 2013-04-09 | 430 LAKE HOWELL RD, MAITLAND, FL, 327515907, US | 430 LAKE HOWELL RD, MAITLAND, FL, 327515907, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-628-1900 |
| Fax | 4076284811 |
Authorized person
| Name | DR. GLEN ED BARKER |
| Role | OWNER |
| Phone | 4076281900 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | L09000021705 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTCAN |
| Number | 88342 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BARKER ED | Agent | 7975 Dunstable Circle, Orlando, FL, 32817 |
| Name | Role | Address |
|---|---|---|
| BARKER ED | Managing Member | 7975 Dunstable Circle, Orlando, FL, 32817 |
| BARKER KIM L | Managing Member | 7975 Dunstable Circle, Orlando, FL, 32817 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 7975 Dunstable Circle, Orlando, FL 32817 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 7975 Dunstable Circle, Orlando, FL 32817 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 7975 Dunstable Circle, Orlando, FL 32817 | No data |
| REINSTATEMENT | 2011-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-01 |
| ANNUAL REPORT | 2019-02-04 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-03-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
