Entity Name: | POULOS CHIROPRACTIC, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 28 Nov 2011 (13 years ago) |
Date of dissolution: | 28 Sep 2012 (12 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2012 (12 years ago) |
Document Number: | L11000133914 |
Address: | 727 NORTHLAKE BLVD SUITE 4, NORTH PALM BEACH, FL, 33408 |
Mail Address: | 727 NORTHLAKE BLVD SUITE 4, NORTH PALM BEACH, FL, 33408 |
ZIP code: | 33408 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1003182676 | 2012-03-28 | 2012-03-28 | 727 NORTHLAKE BLVD STE 4, NORTH PALM BEACH, FL, 334085242, US | 727 NORTHLAKE BLVD STE 4, NORTH PALM BEACH, FL, 334085242, US | |||||||||||||||||||
|
Phone | +1 561-904-6066 |
Fax | 5619046076 |
Authorized person
Name | IRENE POULOS |
Role | OFFICE MANAGER |
Phone | 5612523100 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | CH9754 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
POULOS IRENE A | Agent | 4025 DORADO DRIVE, PALM BEACH GARDENS, FL, 33418 |
Name | Role | Address |
---|---|---|
BROTH WAYNE | Managing Member | 902 SW LOST SHORES DRIVE, STUART, FL, 34997 |
POULOS IRENE | Managing Member | 4025 DORADO DRIVE, PALM BEACH GARDENS, FL, 33418 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
Name | Date |
---|---|
Florida Limited Liability | 2011-11-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State