| Entity Name: | WILLIAMS CHIROPRACTIC CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Jul 2011 (14 years ago) |
| Date of dissolution: | 29 Sep 2015 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Sep 2015 (9 years ago) |
| Document Number: | L11000079997 |
| FEI/EIN Number | 452721730 |
| Address: | 1786 N. MILLS AVE., ORLANDO, FL, 32803, US |
| Mail Address: | 1786 N. MILLS AVE., ORLANDO, FL, 32803, US |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518237445 | 2012-01-10 | 2013-01-15 | 1786 MILLS AVE., ORLANDO, FL, 328031852, US | 1786 N MILLS AVE., ORLANDO, FL, 328031852, US | |||||||||||||||||||||||||
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| Phone | +1 407-985-2880 |
| Fax | 4079852879 |
Authorized person
| Name | DR. MARK LEE WILLIAMS |
| Role | DOCTOR/OWNER |
| Phone | 40798528800 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10007 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | CH10007 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WILLIAMS MARK D | Agent | 1786 N. MILLS AVE., ORLANDO, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS MARK D | Manager | 1786 North Mills Ave., Orlando, FL, 32803 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000034532 | ORLANDO UPPER CERVICAL | EXPIRED | 2015-04-06 | 2020-12-31 | No data | 1786 N MILLS AVE., ORLANDO, FL, 32803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-09-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-11-19 | 1786 N. MILLS AVE., ORLANDO, FL 32803 | No data |
| CHANGE OF MAILING ADDRESS | 2012-11-19 | 1786 N. MILLS AVE., ORLANDO, FL 32803 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-11-19 | 1786 N. MILLS AVE., ORLANDO, FL 32803 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-09-29 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-02-25 |
| ANNUAL REPORT | 2013-04-30 |
| Reg. Agent Change | 2012-11-19 |
| ANNUAL REPORT | 2012-04-12 |
| Florida Limited Liability | 2011-07-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
