| Entity Name: | PROGRESSIVE CHIROPRACTIC AND REHABILITATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PROGRESSIVE CHIROPRACTIC AND REHABILITATION, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 24 Mar 2014 (11 years ago) |
| Document Number: | L14000048543 |
| FEI/EIN Number |
46-5156432
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 502 S MAIN ST, CRESTVIEW, FL, 32536 |
| Mail Address: | 502 S MAIN ST, CRESTVIEW, FL, 32536, US |
| ZIP code: | 32536 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053730218 | 2014-04-15 | 2014-04-15 | 502 S MAIN ST, CRESTVIEW, FL, 325364250, US | 502 S MAIN ST, CRESTVIEW, FL, 325364250, US | |||||||||||||||||||||||||||||||
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| Phone | +1 850-398-8640 |
| Fax | 8503988641 |
Authorized person
| Name | DR. JOEL A. TATE |
| Role | CHIROPRACTIC PHYSICIAN/OWNER |
| Phone | 3098309694 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9929 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | CH9929 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD PROVIDER NUMBER |
| Number | 220C0 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TATE LEANDRA P | Authorized Member | 1428 Hickory St., NICEVILLE, 32578 |
| TATE JOEL AD.C. | Authorized Member | 1428 Hickory St., NICEVILLE, 32578 |
| TATE JOEL AD.C. | Agent | 1428 Hickory St., NICEVILLE, FL, 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-07-18 | 1428 Hickory St., NICEVILLE, FL 32578 | - |
| CHANGE OF MAILING ADDRESS | 2017-01-23 | 502 S MAIN ST, CRESTVIEW, FL 32536 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-03 |
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-07-18 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-03-08 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8821517401 | 2020-05-19 | 0491 | PPP | 502 S MAIN ST, CRESTVIEW, FL, 32536-4250 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9077708804 | 2021-04-23 | 0491 | PPS | 502 S Main St, Crestview, FL, 32536-4250 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
