| Entity Name: | WALLIS CHIROPRACTIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 23 Sep 2013 (11 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L13000134592 |
| FEI/EIN Number | 46-3680011 |
| Address: | 6309 CORPORATE COURT STE 110, FT MYERS, FL 33919 |
| Mail Address: | 8660 Wesleyan dr., Apt 406, Ft myer, FL 33919 |
| ZIP code: | 33919 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962890533 | 2015-01-05 | 2015-01-05 | 6309 CORPORATE CT STE 110, FORT MYERS, FL, 339193539, US | 6309 CORPORATE CT STE 110, FORT MYERS, FL, 339193539, US | |||||||||||||||||||
|
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| Phone | +1 239-433-1011 |
| Fax | 2394333737 |
Authorized person
| Name | DR. KELLY JEAN WALLIS |
| Role | DOCTOR |
| Phone | 2394331011 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10990 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Wallis, Kelly J | Agent | 6309 CORPORATE COURT STE 110, FT MYERS, FL 33919 |
| Name | Role | Address |
|---|---|---|
| WALLIS, KELLY J | Managing Member | 8660 Wesleyan dr., Apt 406 Ft myer, FL 33919 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-30 | 6309 CORPORATE COURT STE 110, FT MYERS, FL 33919 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-30 | Wallis, Kelly J | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-30 |
| Florida Limited Liability | 2013-09-23 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
