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CLARKE CHIROPRACTIC AND WELLNESS, LLC

Company Details

Entity Name: CLARKE CHIROPRACTIC AND WELLNESS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 May 2013 (12 years ago)
Document Number: L13000071788
FEI/EIN Number 46-2799197
Address: 1019 HARVIN WAY, SUITE 100, ROCKLEDGE, FL 32955
Mail Address: 1019 HARVIN WAY, SUITE 100, ROCKLEDGE, FL 32955
ZIP code: 32955
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427494178 2013-05-21 2013-07-27 806 MYSTIC DR # D207, CAPE CANAVERAL, FL, 329205329, US 1019 HARVIN WAY, SUITE 100, ROCKLEDGE, FL, 329553286, US

Contacts

Phone +1 850-322-9551
Phone +1 321-848-0987

Authorized person

Name DR. RICHARD C CLARKE
Role OWNER
Phone 8503229551

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
CLARKE, RICHARD C Agent 806 MYSTIC DR, D207, CAPE CANAVERAL, FL 32920

Managing Member

Name Role Address
CLARKE, RICHARD C Managing Member 806 MYSTIC DR D207, CAPE CANAVERAL, FL 32920

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000048595 SPACE COAST TOTAL HEALTH EXPIRED 2013-05-22 2018-12-31 No data 806 MYSTIC DR D207, CAPE CANAVERAL, FL, 32920

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2014-03-24 806 MYSTIC DR, D207, CAPE CANAVERAL, FL 32920 No data
CHANGE OF PRINCIPAL ADDRESS 2013-07-29 1019 HARVIN WAY, SUITE 100, ROCKLEDGE, FL 32955 No data
CHANGE OF MAILING ADDRESS 2013-07-29 1019 HARVIN WAY, SUITE 100, ROCKLEDGE, FL 32955 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-02-03
ANNUAL REPORT 2022-02-28
ANNUAL REPORT 2021-01-23
ANNUAL REPORT 2020-01-29
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-02-06
ANNUAL REPORT 2017-02-06
ANNUAL REPORT 2016-01-30
ANNUAL REPORT 2015-02-02

Date of last update: 22 Jan 2025

Sources: Florida Department of State