| Entity Name: | SAMBURSKY CHIROPRACTIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Mar 2009 (16 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 17 Nov 2017 (7 years ago) |
| Document Number: | L09000030398 |
| FEI/EIN Number | 800377915 |
| Address: | 12627 SAN JOSE BLVD, UNIT 305, JACKSONVILLE, FL, 32223, US |
| Mail Address: | 12627 SAN JOSE BLVD, UNIT 305, JACKSONVILLE, FL, 32223, US |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073740189 | 2009-06-16 | 2009-06-16 | 12412 SAN JOSE BLVD, 203, JACKSONVILLE, FL, 322238621, US | 12412 SAN JOSE BLVD, 203, JACKSONVILLE, FL, 322238621, US | |||||||||||||||||
|
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| Phone | +1 904-683-4376 |
Authorized person
| Name | BRUCE S SAMBURSKY |
| Role | OWNER |
| Phone | 9046834376 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9687 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Gibson Fred LDr. | Agent | 12627 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| Gibson Fred LDr. | Manager | 12627 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
| Gibson Denise Y | Manager | 12627 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000016533 | CORE CHIROPRACTIC | ACTIVE | 2021-02-03 | 2026-12-31 | No data | 12627 SAN JOSE BLVD STE 305, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-05 | Gibson, Fred Lloyd, Dr. | No data |
| LC AMENDMENT | 2017-11-17 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-11-17 | 12627 SAN JOSE BLVD, SUITE 305, JACKSONVILLE, FL 32223 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-24 | 12627 SAN JOSE BLVD, UNIT 305, JACKSONVILLE, FL 32223 | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-24 | 12627 SAN JOSE BLVD, UNIT 305, JACKSONVILLE, FL 32223 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-03-06 |
| LC Amendment | 2017-11-17 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-01-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
