| Entity Name: | MADISON CHIROPRACTIC CENTER, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Feb 2010 (15 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L10000017822 |
| FEI/EIN Number | 271913127 |
| Address: | 126 SW SUMATRA AVENUE, SUITE A, MADISON, FL, 32340 |
| Mail Address: | PO BOX 306, MADISON, FL, 32341 |
| ZIP code: | 32340 |
| County: | Madison |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154643922 | 2010-02-22 | 2014-10-21 | 126 SW SUMATRA AVE UNIT A, PO BOX 306, MADISON, FL, 323401458, US | 126 SW SUMATRA AVE UNIT A, MADISON, FL, 323401458, US | |||||||||||||||||||||||||
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| Phone | +1 850-973-2424 |
| Fax | 8509732684 |
Authorized person
| Name | STUART N STEIGER |
| Role | OWNER / OPERATOR |
| Phone | 8509732424 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 4070 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001907100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Allen Jan | Agent | 2802 Sylvania Rd, Vernon, FL, 32462 |
| Name | Role | Address |
|---|---|---|
| STEIGER STUART N | Director | 126 SW SUMATRA AVE SUITE A, MADISON, FL, 32340 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-13 | Allen, Jan | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-13 | 2802 Sylvania Rd, Vernon, FL 32462 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-08 | 126 SW SUMATRA AVENUE, SUITE A, MADISON, FL 32340 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-11 |
| ANNUAL REPORT | 2015-02-06 |
| ANNUAL REPORT | 2014-02-25 |
| ANNUAL REPORT | 2013-04-13 |
| ANNUAL REPORT | 2012-02-07 |
| ANNUAL REPORT | 2011-01-08 |
| Florida Limited Liability | 2010-02-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
