| Entity Name: | DIVINE CHIROPRACTIC HEALTH AND WELLNESS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Sep 2011 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Oct 2016 (8 years ago) |
| Document Number: | L11000112125 |
| FEI/EIN Number | 45-3479706 |
| Address: | 1820 E Co Rd 540a, LAKELAND, FL, 33813, US |
| Mail Address: | 4734 Valley Hill Court, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396091773 | 2012-08-03 | 2015-08-21 | 1820 E COUNTY ROAD 540A, WELLNESS, LAKELAND, FL, 338133737, US | 1820 E COUNTY ROAD 540A, WELLNESS, LAKELAND, FL, 338133737, US | |||||||||||||||||||
|
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| Phone | +1 863-670-5137 |
| Fax | 8632993016 |
Authorized person
| Name | SAMANTHA M DENSTEDT |
| Role | SOLE MBR |
| Phone | 8636705137 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | CH10414 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DENSTEDT SAMANTHA M | Agent | 4734 Valley Hill Court, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| DENSTEDT SAMANTHA M | Director | 4734 Valley Hill Court, LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-22 | 1820 E Co Rd 540a, Community B, LAKELAND, FL 33813 | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-01 | 1820 E Co Rd 540a, Community B, LAKELAND, FL 33813 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-05-01 | 4734 Valley Hill Court, LAKELAND, FL 33813 | No data |
| REINSTATEMENT | 2016-10-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-27 | DENSTEDT, SAMANTHA MDR. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2012-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-03-15 |
| REINSTATEMENT | 2016-10-27 |
| ANNUAL REPORT | 2015-03-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
