| Entity Name: | CREATIVE CHIROPRACTIC CARE, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 18 Jun 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L15000106382 |
| FEI/EIN Number | 47-3972134 |
| Address: | 1125 N. Orange Ave, Suite B, Orlando, FL 32804 |
| Mail Address: | 1125 N. Orange Ave, Suite B, Orlando, FL 32804 |
| ZIP code: | 32804 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144508748 | 2011-07-30 | 2015-07-10 | 6965 PIAZZA GRANDE AVE, SUITE 403, ORLANDO, FL, 328358779, US | 6965 PIAZZA GRANDE AVE, SUITE 403, ORLANDO, FL, 328358779, US | |||||||||||||||||||||||||||||||
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| Phone | +1 407-757-0824 |
| Fax | 4077570843 |
Authorized person
| Name | CORI RODRIGUEZ |
| Role | PHYSICIAN/OWNER |
| Phone | 4077570824 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8929 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1720009350 |
| State | FL |
| Issuer | TAXONOMY |
| Number | 111N00000X |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, CORI A | Agent | 232 COLOMBO DR, CASSELBERRY, FL 32707 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, CORI | Manager | 232 COLOMBO DR, CASSELBERRY, FL 32707 UN |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000003963 | HEALTHCORE LLC | EXPIRED | 2018-01-08 | 2023-12-31 | No data | 232 COLOMBO DR., CASSLEBERRY, FL, 32707 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2021-10-04 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-04 | 1125 N. Orange Ave, Suite B, Orlando, FL 32804 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-04 | 1125 N. Orange Ave, Suite B, Orlando, FL 32804 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2019-04-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-11 | RODRIGUEZ, CORI A | No data |
| REINSTATEMENT | 2016-10-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2021-10-04 |
| ANNUAL REPORT | 2020-01-20 |
| REINSTATEMENT | 2019-04-25 |
| ANNUAL REPORT | 2017-04-30 |
| REINSTATEMENT | 2016-10-11 |
| Florida Limited Liability | 2015-06-18 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
