| Entity Name: | KEVIN B HARRISON, DC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Apr 2009 (16 years ago) |
| Document Number: | L09000039424 |
| FEI/EIN Number | 264721990 |
| Address: | 1680 SW NEWLAND WAY, STE 105, Lake City, FL, 32025, US |
| Mail Address: | 1680 SW NEWLAND WAY, STE 105, Lake City, FL, 32025, US |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699901447 | 2009-06-08 | 2009-06-08 | 20599 NE 105TH TER, LAKE BUTLER, FL, 320545209, US | 20599 NE 105TH TER, LAKE BUTLER, FL, 320545209, US | |||||||||||||||||||
|
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| Phone | +1 386-451-6469 |
| Fax | 9049649557 |
Authorized person
| Name | KEVIN BLAIR HARRISON |
| Role | OWNER |
| Phone | 3864516469 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH 9691 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HARRISON KEVIN B | Agent | 1680 SW NEWLAND WAY, Lake City, FL, 32025 |
| Name | Role | Address |
|---|---|---|
| HARRISON KEVIN B | Managing Member | 1680 SW NEWLAND WAY, Lake City, FL, 32025 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000015416 | LAKE CITY CHIROPRACTIC & MASSAGE CENTER | EXPIRED | 2018-01-29 | 2023-12-31 | No data | 512W DUVAL ST, LAKE CITY, FL, 32055 |
| G10000015074 | LAKE CITY CHIROPRACTIC & MASSAGE CENTER | EXPIRED | 2010-02-16 | 2015-12-31 | No data | 512 WEST DUVAL STREET, LAKE CITY, FL, 32055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-14 | 1680 SW NEWLAND WAY, STE 105, Lake City, FL 32025 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-10-15 | 1680 SW NEWLAND WAY, STE 105, Lake City, FL 32025 | No data |
| CHANGE OF MAILING ADDRESS | 2019-10-15 | 1680 SW NEWLAND WAY, STE 105, Lake City, FL 32025 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-29 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-02-08 |
| ANNUAL REPORT | 2015-01-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
