| Entity Name: | LARRY D JOHNSON DC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LARRY D JOHNSON DC LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 28 Dec 2009 (15 years ago) |
| Document Number: | L09000122450 |
| FEI/EIN Number |
271200746
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2721 DEL PRADO BLVD. S., SUITE 250, CAPE CORAL, FL, 33904, US |
| Mail Address: | 2721 DEL PRADO BLVD. S., SUITE 250, CAPE CORAL, FL, 33904, US |
| ZIP code: | 33904 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366771370 | 2009-12-22 | 2024-01-26 | 1510 HANCOCK BRIDGE PKWY #6, CAPE CORAL, FL, 339901715, US | 1510 HANCOCK BRIDGE PKWY #6, CAPE CORAL, FL, 339901715, US | |||||||||||||||||||||||||||||
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| Phone | +1 239-574-5559 |
| Fax | 2395749454 |
Authorized person
| Name | DR. LARRY DEAN JOHNSON |
| Role | MGR |
| Phone | 2395745559 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381717200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNSON LARRY DDR. | Managing Member | 13231 SEASIDE HARBOUR DRIVE, NORTH FORT MYERS, FL, 33903 |
| KNAPP LAURA K | Auth | 1510 HANCOCK BRIDGE PKWY #6, CAPE CORAL, FL, 339901715 |
| JOHNSON MATTHEW D | Auth | 1510 HANCOCK BRIDGE PKWY #6, CAPE CORAL, FL, 339901715 |
| LARRY D JOHNSON DR | Agent | 2721 DEL PRADO BLVD. S. #250, CAPE CORAL, FL, 33904 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000013919 | HANCOCK HEALTHCARE GROUP | ACTIVE | 2021-01-28 | 2026-12-31 | - | 1510 HANCOCK BRIDGE PKWY, UNIT 6, CAPE CORAL, FL, 33990 |
| G20000068335 | HANCOCK HEALTHCARE GROUP | ACTIVE | 2020-06-17 | 2025-12-31 | - | 1510 HANCOCK BRIDGE PKWY, UNIT 6, CAPE CORAL, FL, 33990 |
| G17000102031 | BODY BY DESIGN LASER SPA | EXPIRED | 2017-09-08 | 2022-12-31 | - | 1510 HANCOCK BRIDGE PKWY UNIT 6, CAPE CORAL, FL, 33990 |
| G14000055067 | CAPE CORAL CHIROPRACTIC AND MASSAGE CENTER | EXPIRED | 2014-06-09 | 2019-12-31 | - | 1510 HANCOCK BRIDGE PKWY, UNIT 6, CAPE CORAL, FL, 33990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-05 | 2721 DEL PRADO BLVD. S., SUITE 250, CAPE CORAL, FL 33904 | - |
| CHANGE OF MAILING ADDRESS | 2024-02-05 | 2721 DEL PRADO BLVD. S., SUITE 250, CAPE CORAL, FL 33904 | - |
| REGISTERED AGENT NAME CHANGED | 2024-02-05 | LARRY D JOHNSON, DR | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-05 | 2721 DEL PRADO BLVD. S. #250, CAPE CORAL, FL 33904 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-02-20 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-02-06 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-01-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2427937109 | 2020-04-10 | 0455 | PPP | 1510 HANCOCK BRIDGE PKWY unit 6, CAPE CORAL, FL, 33990-1715 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Mar 2025
Sources: Florida Department of State
