| Entity Name: | ANY ACCIDENT CARE CLINIC, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 08 Jul 2013 (12 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L13000096165 |
| FEI/EIN Number | 46-3119714 |
| Address: | 303 Main Street, 1215, Safety Harbor, FL 34695 |
| Mail Address: | 303 Main Street, 1215, Safety Harbor, FL 34695 |
| ZIP code: | 34695 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790127603 | 2013-07-19 | 2013-07-19 | 607 W. DR. MARTIN LUTHER KING JR. BLVD, SUITE 101, TAMPA, FL, 33603, US | 607 W DR MARTIN LUTHER KING JR BLVD, SUITE 101, TAMPA, FL, 336033453, US | |||||||||||||||||||
|
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| Phone | +1 727-474-9729 |
| Fax | 7274997899 |
Authorized person
| Name | ERIC KRISTIAN GROTEKE |
| Role | OWNER/CHIROPRACTOR |
| Phone | 7274749729 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | CH 8772 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GROTEKE, ERIC K | Agent | 303 Main Street, 1215, Safety Harbor, FL 34695 |
| Name | Role | Address |
|---|---|---|
| GROTEKE, ERIC K | Managing Member | 303 Main Street, 1215 Safety Harbor, FL 34695 |
| groteke, walter m | Managing Member | 1102 S Bayshore Blvd, Safety Harbor, FL 34695 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000059745 | INTEGRATIVE HEALTH WORX | EXPIRED | 2016-06-16 | 2021-12-31 | No data | 303 MAIN STREET,, #1215, SAFETY HARBOR, FL, 34695 |
| G15000054981 | NEURODIAGNOSTIC ASSOCIATES | EXPIRED | 2015-06-07 | 2020-12-31 | No data | 303 MAIN STREET, 1215, SAFETY HARBOR, FL, 34695 |
| G14000041672 | AUTO ACCIDENT INJURY INSTITUTE | EXPIRED | 2014-04-27 | 2019-12-31 | No data | 13035 W LINEBAUGH AVE, BUILDING 101, SUITE F, TAMPA, FL, 33626 |
| G13000071334 | AFTER HOURS ACHES AND PAINS CLINIC | EXPIRED | 2013-07-16 | 2018-12-31 | No data | 11842 DERBYSHIRE DRIVE, TAMPA, FL, 33626 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-28 | 303 Main Street, 1215, Safety Harbor, FL 34695 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-28 | 303 Main Street, 1215, Safety Harbor, FL 34695 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-28 | 303 Main Street, 1215, Safety Harbor, FL 34695 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-28 |
| AMENDED ANNUAL REPORT | 2015-08-12 |
| ANNUAL REPORT | 2015-05-01 |
| ANNUAL REPORT | 2014-04-30 |
| Florida Limited Liability | 2013-07-08 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
