| Entity Name: | CHIROPRACTIC CLINICS OF CENTRAL FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Aug 2013 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 Sep 2024 (5 months ago) |
| Document Number: | L13000117997 |
| FEI/EIN Number | 463489529 |
| Address: | 1958 E OSCEOLA PKWY, KISSIMMEE, FL, 34743, US |
| Mail Address: | 1958 E OSCEOLA PKWY, KISSIMMEE, FL, 34743, US |
| ZIP code: | 34743 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982094041 | 2015-01-28 | 2015-12-29 | 1958 E OSCEOLA PKWY, KISSIMMEE, FL, 347438626, US | 1958 E OSCEOLA PKWY, KISSIMMEE, FL, 347438626, US | |||||||||||||||||||||||||
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| Phone | +1 407-483-3598 |
| Fax | 4074833599 |
Authorized person
| Name | MR. JOSUE MAYSONET |
| Role | DOCTOR/OWNER |
| Phone | 4073349988 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| License Number | CH 10909 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | HP685Z |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MAYSONET JOSUE D.C. | Agent | 1958 E OSCEOLA PKWY, KISSIMMEE, FL, 34743 |
| Name | Role | Address |
|---|---|---|
| MAYSONET JOSUE | Authorized Member | 4384 SUMMER BREEZE WAY, KISSIMMEE, FL, 34744 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000063247 | KERINVER CHIROPRACTIC AT LAKE NONA LANDINGS | ACTIVE | 2017-06-07 | 2027-12-31 | No data | 1958 EAST OSCEOLA PARKWAY, KISSIMMEE, FL, 34743 |
| G14000103368 | KERINVER | EXPIRED | 2014-10-10 | 2019-12-31 | No data | 274 SATINWOOD CIRCLE, KISSIMME, FL, 34743 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-08-18 | 1958 E OSCEOLA PKWY, KISSIMMEE, FL 34743 | No data |
| LC STMNT OF RA/RO CHG | 2016-10-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-10-27 | 1958 E OSCEOLA PKWY, KISSIMMEE, FL 34743 | No data |
| LC AMENDMENT | 2014-10-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-10-27 | 1958 E OSCEOLA PKWY, KISSIMMEE, FL 34743 | No data |
| LC DISSOCIATION MEM | 2014-10-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-09-04 | MAYSONET, JOSUE, D.C. | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-09-24 |
| ANNUAL REPORT | 2024-04-30 |
| AMENDED ANNUAL REPORT | 2023-08-18 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-04-03 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-01-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
