| Entity Name: | CHIROPRACTIC ACCIDENT & INJURY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Nov 2009 (15 years ago) |
| Date of dissolution: | 05 Jan 2012 (13 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 Jan 2012 (13 years ago) |
| Document Number: | L09000111341 |
| FEI/EIN Number | 271346370 |
| Address: | 1400 COLONIAL BLVD., 31, FT. MYERS, FL, 33906, US |
| Mail Address: | 1400 GOODLETTE ROAD N, NAPLES, FL, 34102, US |
| ZIP code: | 33906 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841520756 | 2009-12-29 | 2009-12-29 | 1400 COLONIAL BLVD, FORT MYERS, FL, 339071055, US | 1400 COLONIAL BLVD STE 31, FORT MYERS, FL, 339071053, US | |||||||||||||||||
|
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| Phone | +1 239-267-3332 |
Authorized person
| Name | DR. GAVIN JAY WIDOM |
| Role | MANAGING PARTNER |
| Phone | 2392673332 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH6230 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WIDOM GAVIN | Agent | 1400 GOODLETTE ROAD N, NAPLES, FL, 34102 |
| Name | Role | Address |
|---|---|---|
| WIDOM GAVIN | Managing Member | 1400 GOODLETTE ROAD N, NAPLES, FL, 34102 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-01-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-22 | 1400 COLONIAL BLVD., 31, FT. MYERS, FL 33906 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2012-01-05 |
| ANNUAL REPORT | 2011-04-09 |
| ANNUAL REPORT | 2010-03-22 |
| Florida Limited Liability | 2009-11-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
