| Entity Name: | IMAGE CHIROPRACTIC RE-HAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 21 Mar 2014 (11 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: | L14000047111 |
| FEI/EIN Number | 46-4990473 |
| Address: | 4048 EVANS AVE, 208, FT MYERS, FL 33901 |
| Mail Address: | 4048 EVANS AVE, 208, FT MYERS, FL 33901 |
| ZIP code: | 33901 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477907079 | 2016-04-20 | 2016-04-20 | 4048 EVANS AVE STE 208, FORT MYERS, FL, 339019385, US | 4048 EVANS AVE STE 208, FORT MYERS, FL, 339019385, US | |||||||||||||||||
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| Phone | +1 239-362-3111 |
Authorized person
| Name | DR. JUDE HENRY VALLES |
| Role | PHYSICIAN |
| Phone | 5617071798 |
Taxonomy
| Taxonomy Code | 111NR0400X - Rehabilitation Chiropractor |
| License Number | CH8452 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VALLES, JUDE H | Agent | 4570 NW 18TH AVE, APT 601, POMPANO BEACH, FL 33064 |
| Name | Role | Address |
|---|---|---|
| VALLES, JUDE H | Manager | 4570 NW 18TH AVE APT 601, POMPANO BEACH, FL 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-08-29 |
| ANNUAL REPORT | 2015-04-23 |
| Florida Limited Liability | 2014-03-21 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
