| Entity Name: | FORT WALTON BEACH CHIROPRACTIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FORT WALTON BEACH CHIROPRACTIC, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 11 Sep 2012 (13 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 03 May 2019 (6 years ago) |
| Document Number: | L12000116450 |
| FEI/EIN Number |
35-2454866
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 315 NE Racetrack Road, FORT WALTON BEACH, FL, 32547, US |
| Mail Address: | 315 NE Racetrack Road, FORT WALTON BEACH, FL, 32547, US |
| ZIP code: | 32547 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437409885 | 2012-09-13 | 2019-06-19 | 315 RACETRACK RD NE, FORT WALTON BEACH, FL, 325472548, US | 315 RACETRACK RD NE, FORT WALTON BEACH, FL, 325472548, US | |||||||||||||||||
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| Phone | +1 850-200-4911 |
Authorized person
| Name | DR. SCOTT SMITH |
| Role | MANAGER |
| Phone | 8502004911 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8625 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SMITH SCOTT R | Manager | 315 NE Racetrack Road, FORT WALTON BEACH, FL, 32547 |
| FLEET & SMITH | Agent | 1283 N. EGLIN PARKWAY, SHALIMAR, FL, 32579 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000068910 | FORT WALTON BEACH CHIROPRACTIC | ACTIVE | 2019-06-18 | 2029-12-31 | - | 315 NE RACETRACK ROAD, FORT WALTON BEACH, FL, 32547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2019-05-03 | FORT WALTON BEACH CHIROPRACTIC, LLC | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-12 | 315 NE Racetrack Road, FORT WALTON BEACH, FL 32547 | - |
| CHANGE OF MAILING ADDRESS | 2018-01-12 | 315 NE Racetrack Road, FORT WALTON BEACH, FL 32547 | - |
| REGISTERED AGENT NAME CHANGED | 2017-01-12 | FLEET & SMITH | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-01-22 |
| LC Name Change | 2019-05-03 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1363147103 | 2020-04-10 | 0491 | PPP | 315 RACETRACK RD, FORT WALTON BEACH, FL, 32547-2501 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6914688402 | 2021-02-11 | 0491 | PPS | 315 Racetrack Rd NE, Fort Walton Beach, FL, 32547-2501 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 May 2025
Sources: Florida Department of State
