| Entity Name: | JAHNA CHIROPRACTIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 May 2013 (12 years ago) |
| Document Number: | L13000065384 |
| FEI/EIN Number | 46-2703440 |
| Address: | 3518 Oak Grove Court, Haines City, FL 33844 |
| Mail Address: | 3518 Oak Grove Court, Haines City, FL 33844 |
| ZIP code: | 33844 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992120570 | 2014-02-19 | 2014-12-22 | 23857 HWY 27, LAKE WALES, FL, 338597811, US | 23857 HWY 27, LAKE WALES, FL, 338597811, US | |||||||||||||||||||||||||
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| Phone | +1 863-949-4815 |
| Fax | 8639494826 |
Authorized person
| Name | DR. MARCUS JAHNA |
| Role | OWNER |
| Phone | 8639494815 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10304 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 220EP |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Marinock, David | Agent | 3518 Oak Grove Court, Haines City, FL 33844 |
| Name | Role | Address |
|---|---|---|
| Marinock, David | Managing Member | 3518 Oak Grove Court, Haines City, FL 33844 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-28 | 3518 Oak Grove Court, Haines City, FL 33844 | No data |
| CHANGE OF MAILING ADDRESS | 2022-07-28 | 3518 Oak Grove Court, Haines City, FL 33844 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-07-28 | Marinock, David | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-07-28 | 3518 Oak Grove Court, Haines City, FL 33844 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-18 |
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-02-02 |
| AMENDED ANNUAL REPORT | 2022-07-28 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-03-30 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-02-27 |
| ANNUAL REPORT | 2017-03-29 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
