| Entity Name: | JULIE STUBRUD, DC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Oct 2013 (11 years ago) |
| Document Number: | L13000152858 |
| FEI/EIN Number | 46-3996125 |
| Address: | 6405 Southwest 38th Street, #203, Ocala, FL, 34474, US |
| Mail Address: | 6405 Southwest 38th Street, #203, Ocala, FL, 34474, US |
| ZIP code: | 34474 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134364995 | 2008-12-09 | 2021-08-02 | 6405 SW 38TH ST STE 203, OCALA, FL, 344746540, US | 6405 SW 38TH ST STE 203, OCALA, FL, 344746540, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-390-6133 |
| Fax | 3523906961 |
Authorized person
| Name | JULIE STUBRUD |
| Role | OWNER |
| Phone | 3523906133 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9380 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 9111145 |
| State | FL |
| Issuer | MEDICARE |
| Number | BO786A |
| Issuer | BCBS |
| Number | 64206 |
| State | FL |
| Issuer | MEDICAID |
| Number | 382203600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STUBRUD JULIE D | Agent | 8405 NW 9th Ave, Ocala, FL, 34475 |
| Name | Role | Address |
|---|---|---|
| STUBRUD Julie D | Managing Member | 8405 NW 9th Ave, Ocala, FL, 34475 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000010119 | DR. JULIE CHIROPRACTIC & MASSAGE | ACTIVE | 2021-01-21 | 2026-12-31 | No data | 6405 SW 38TH STREET #203, OCALA, FL, 34474 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-09 | 6405 Southwest 38th Street, #203, Ocala, FL 34474 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-09 | 6405 Southwest 38th Street, #203, Ocala, FL 34474 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-11 | 8405 NW 9th Ave, Ocala, FL 34475 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-02-19 |
| ANNUAL REPORT | 2017-02-20 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-03-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
