| Entity Name: | KERSENBROCK CHIROPRACTIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jun 2012 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Oct 2021 (3 years ago) |
| Document Number: | L12000084723 |
| FEI/EIN Number | 90-0880258 |
| Address: | 760 CURRENCY CIRCLE, LAKE MARY, FL, 32746, US |
| Mail Address: | 760 CURRENCY CIRCLE, LAKE MARY, FL, 32746, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225399330 | 2012-06-05 | 2012-10-30 | 3525 W LAKE MARY BLVD, LAKE MARY, FL, 327463473, US | 3525 W LAKE MARY BLVD, LAKE MARY, FL, 327463473, US | |||||||||||||||||||
|
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| Phone | +1 407-732-6920 |
| Fax | 4077326923 |
Authorized person
| Name | MISS KIM A CUMMINGS |
| Role | OFFICE MANAGER |
| Phone | 9312849100 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10363 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KERSENBROCK BEN | Agent | 760 CURRENCY CIRCLE, LAKE MARY, FL, 32746 |
| Name | Role | Address |
|---|---|---|
| KERSENBROCK BEN | Managing Member | 760 CURRENCY CIRCLE, LAKE MARY, FL, 32746 |
| KERSENBROCK BLAIR | Managing Member | 760 CURRENCY CIRCLE, LAKE MARY, FL, 32746 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-10-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-10-25 | KERSENBROCK, BEN | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-06 | 760 CURRENCY CIRCLE, LAKE MARY, FL 32746 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-08-28 | 760 CURRENCY CIRCLE, LAKE MARY, FL 32746 | No data |
| CHANGE OF MAILING ADDRESS | 2017-08-28 | 760 CURRENCY CIRCLE, LAKE MARY, FL 32746 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-03-02 |
| REINSTATEMENT | 2021-10-25 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-02-11 |
| ANNUAL REPORT | 2016-02-17 |
| ANNUAL REPORT | 2015-02-18 |
| ANNUAL REPORT | 2014-03-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
