| Entity Name: | OCEANSIDE CHIROPRACTIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Feb 2013 (12 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L13000016635 |
| Address: | 14 OFFICE PARK DRIVE, SUITE #6, PALM COAST, FL, 32137 |
| Mail Address: | 11 TANGLEWOOD COURT, PALM COAST, FL, 32137 |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205275146 | 2013-06-24 | 2013-08-05 | 14 OFFICE PARK DRIVE, SUITE 6, PALM COAST, FL, 321373830, US | 14 OFFICE PARK DRIVE, SUITE 6, PALM COAST, FL, 321373830, US | |||||||||||||||||||||||||
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| Phone | +1 386-283-4991 |
| Fax | 3862834995 |
Authorized person
| Name | TRACIE RESTIERI |
| Role | DOCTOR |
| Phone | 3862834991 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10855 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PTAN |
| Number | HG655A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RESTIERI TRACIE L | Agent | 11 TANGLEWOOD COURT, PALM COAST, FL, 32137 |
| Name | Role | Address |
|---|---|---|
| RESTIERI TRACIE L | Managing Member | 11 TANGLEWOOD COURT, PALM COAST, FL, 32137 |
| RESTIERI LAWRENCE T | Managing Member | 15506 NORTH WEST 48TH PLACE, ALACHUA, FL, 32615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2013-02-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
