| Entity Name: | DELTONA CHIROPRACTIC & ADVANCED PAIN MANAGEMENT CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 May 2009 (16 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L09000045318 |
| FEI/EIN Number | 270147394 |
| Mail Address: | 1115 OAK SPRINGS PLACE, LAKE MARY, FL, 32746, US |
| Address: | 1240 EAST NORMANDY BLVD., DELTONA, FL, 32725, US |
| ZIP code: | 32725 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659504553 | 2009-08-26 | 2009-08-26 | 1240 E NORMANDY BLVD, DELTONA, FL, 327258484, US | 1240 E NORMANDY BLVD, DELTONA, FL, 327258484, US | |||||||||||||||||||
|
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| Phone | +1 386-574-1464 |
| Fax | 3865744895 |
Authorized person
| Name | DR. RANDY L CHAULK |
| Role | REGISTERED AGENT |
| Phone | 3868464588 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9501 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHAULK DR. RANDY L | Agent | 1115 OAK SPRINGS PLACE, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| CHAULK DR. RANDY L | Managing Member | 1115 OAK SPRINGS PLACE, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| STEWART DR. RODEN C | Manager | 602 FAITH TERRACE, MAITLAND, FL, 32751 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000072136 | DELTONA ADVANCED WELLNESS CENTER | EXPIRED | 2012-07-19 | 2017-12-31 | No data | 1115 OAK SPRINGS PLACE, LAKE MARY, FL, 32746 |
| G12000005692 | DELTONA ADV. MED. WELL. CTR. | EXPIRED | 2012-01-17 | 2017-12-31 | No data | 1115 OAK SPRINGS PLACE, LAKE MARY, FL, 32746 |
| G12000005702 | DELTONA CHIROPRACTIC CENTER | EXPIRED | 2012-01-17 | 2017-12-31 | No data | 1115 OAK SPRINGS PLACE, LAKE MARY, FL, 32746 |
| G09000129198 | DELTONA ADVANCED WELLNESS MEDICAL CENTER | EXPIRED | 2009-06-29 | 2014-12-31 | No data | 1115 OAK SPRINGS PLACE, LAKE MARY, FL, 32746 |
| G09000122353 | DELTONA ADVANCED MEDICAL WELLNESS CENTER | EXPIRED | 2009-06-16 | 2014-12-31 | No data | 1115 OAK SPRINGS PLACE, LAKE MARY, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-04-26 | CHAULK, DR. RANDY L | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-03-30 |
| ANNUAL REPORT | 2012-04-29 |
| ANNUAL REPORT | 2011-04-11 |
| ANNUAL REPORT | 2010-04-26 |
| Florida Limited Liability | 2009-05-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
