| Entity Name: | GALLOWAY CHIROPRACTIC AND SPORTS REHAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 May 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 03 Mar 2023 (2 years ago) |
| Document Number: | L13000066846 |
| FEI/EIN Number | 20-0617710 |
| Address: | 6963 E. FOWLER AVE., TAMPA, FL, 33617, US |
| Mail Address: | 3825 Henderson Blvd., #501, TAMPA, FL, 33629, US |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376860445 | 2010-04-28 | 2013-10-24 | 6963 E FOWLER AVE, TEMPLE TERRACE, FL, 336171714, US | 6963 E FOWLER AVE, TEMPLE TERRACE, FL, 336171714, US | |||||||||||||||||||||||||||
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| Phone | +1 813-253-3111 |
| Fax | 8135140108 |
Authorized person
| Name | DR. RICHARD GALLOWAY III |
| Role | CHIROPRACTOR |
| Phone | 8132533111 |
Taxonomy
| Taxonomy Code | 111NS0005X - Sports Physician Chiropractor |
| License Number | CH9352 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME101995 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Drummond Scott | Agent | 3825 Henderson Blvd, #501, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| Drummond Scott | Manager | 3825 Henderson Blvd., #501, TAMPA, FL, 33629 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000099010 | GULF COAST INJURY CENTER | ACTIVE | 2022-08-22 | 2027-12-31 | No data | 1104 W. KENNEDY BLVD., TAMPA, FL, 33606 |
| G19000039810 | GULF COAST INJURY CENTER | EXPIRED | 2019-03-27 | 2024-12-31 | No data | 6963 E. FOWLER AVE., TEMPLE TERRACE, FL, 33617 |
| G13000043873 | GULF COAST INJURY CENTER | EXPIRED | 2013-05-07 | 2018-12-31 | No data | 6963 E. FOWLER AVE., TAMPA, FL, 33617 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-03-03 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-03 | 6963 E. FOWLER AVE., TAMPA, FL 33617 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-03 | Drummond, Scott | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-03 | 3825 Henderson Blvd, #501, TAMPA, FL 33629 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| REINSTATEMENT | 2023-03-03 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-21 |
| ANNUAL REPORT | 2014-01-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
