| Entity Name: | REVIVE CHIROPRACTIC & WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Mar 2012 (13 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 12 Apr 2024 (10 months ago) |
| Document Number: | L12000034694 |
| FEI/EIN Number | 45-4763139 |
| Address: | 3546 St Johns Bluff Rd S Suite 204, Jacksonville, FL, 32224, US |
| Mail Address: | 13328 Tropic Egret Dr, JACKSONVILLE, FL, 32224, US |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790042943 | 2012-04-12 | 2019-06-19 | 3546 SAINT JOHNS BLUFF RD S UNIT 204, JACKSONVILLE, FL, 322242716, US | 3546 SAINT JOHNS BLUFF RD S UNIT 204, JACKSONVILLE, FL, 322242716, US | |||||||||||||||||||||||||
|
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| Phone | +1 904-996-2243 |
Authorized person
| Name | DR. ZACHARY W STALNAKER |
| Role | MGRM/OWNER |
| Phone | 9049962243 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9924 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH3311 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| STALNAKER ZACHARY | Agent | 3546 St Johns Bluff Rd S Suite 204, Jacksonville, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| STALNAKER ZACK | Managing Member | 3546 ST. JOHNS BLUFF ROAD SOUTH, SUITE 204, JACKSONVILLE, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2024-04-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-12 | STALNAKER, ZACHARY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-12 | 3546 St Johns Bluff Rd S Suite 204, Jacksonville, FL 32224 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-03 | 3546 St Johns Bluff Rd S Suite 204, Jacksonville, FL 32224 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-18 | 3546 St Johns Bluff Rd S Suite 204, Jacksonville, FL 32224 | No data |
| LC AMENDMENT AND NAME CHANGE | 2017-11-13 | REVIVE CHIROPRACTIC & WELLNESS, LLC | No data |
| Name | Date |
|---|---|
| CORLCRACHG | 2024-04-12 |
| Reg. Agent Resignation | 2024-04-01 |
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-18 |
| LC Amendment and Name Change | 2017-11-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
