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PORTER CHIROPRACTIC AND WELLNESS LLC

Company Details

Entity Name: PORTER CHIROPRACTIC AND WELLNESS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Aug 2013 (11 years ago)
Document Number: L13000116491
FEI/EIN Number 46-3358721
Address: 1140 Pelican Bay Dr., Daytona Beach, FL, 32119, US
Mail Address: 1140 Pelican Bay Dr., Daytona Beach, FL, 32119, US
ZIP code: 32119
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073144473 2020-02-04 2020-05-05 1367 BEVILLE RD, DAYTONA BEACH, FL, 321191529, US 1367 BEVILLE RD, DAYTONA BEACH, FL, 321191529, US

Contacts

Phone +1 386-317-2000
Fax 3862655552

Authorized person

Name DR. DEBORA LYNN PORTER
Role PHYSICIAN/ OWNER
Phone 3863172000

Taxonomy

Taxonomy Code 363A00000X - Physician Assistant
Is Primary Yes

Agent

Name Role Address
PORTER DEBORA L Agent 1992 Yellowfin Drive, Port Orange, FL, 32128

Director

Name Role Address
PORTER DEBORA L Director 1992 Yellowfin Drive, Port Orange, FL, 32128

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000011299 PORTER WELLNESS & INTEGRATIVE MEDICINE ACTIVE 2020-01-24 2025-12-31 No data 1367 BEVILLE RD., DAYTONA BEACH, FL, 32119

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-04 1140 Pelican Bay Dr., Daytona Beach, FL 32119 No data
CHANGE OF MAILING ADDRESS 2024-03-04 1140 Pelican Bay Dr., Daytona Beach, FL 32119 No data
REGISTERED AGENT ADDRESS CHANGED 2023-05-05 1992 Yellowfin Drive, Port Orange, FL 32128 No data

Documents

Name Date
ANNUAL REPORT 2025-01-16
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-05-05
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-01-04
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-04
ANNUAL REPORT 2017-03-20
ANNUAL REPORT 2016-03-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State