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JAN S. BUCHHOLZ DC, PLLC

Company Details

Entity Name: JAN S. BUCHHOLZ DC, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 30 Jun 2015 (10 years ago)
Date of dissolution: 27 Sep 2024 (4 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (4 months ago)
Document Number: L15000110844
FEI/EIN Number 47-4414527
Address: 151 NW 1ST AVENUE, DELRAY BEACH, FL 33444
Mail Address: 151 NW 1ST AVENUE, DELRAY BEACH, FL 33444
ZIP code: 33444
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730546367 2016-01-27 2016-01-27 4507 N PINE ISLAND RD, SUNRISE, FL, 333515321, US 4507 N PINE ISLAND RD, SUNRISE, FL, 333515321, US

Contacts

Phone +1 954-741-6233
Fax 9546174444

Authorized person

Name DR. JAN S BUCHHOLZ
Role PRESIDENT/OWNER
Phone 9547416233

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH6264
State FL
Is Primary Yes

Agent

Name Role Address
GOLDBERGE, RANDY M, ESQUIRE Agent 151 NW 1ST AVENUE, DELRAY BEACH, FL 33444

Manager

Name Role Address
BUCHHOLZ, JAN S, C Manager 151 NW 1ST AVENUE, DELRAY BEACH, FL 33444

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000072903 SPINE ISLAND WELLNESS CENTER EXPIRED 2015-07-14 2020-12-31 No data 4507 N PINE ISLAND RD, SUNRISE, FL, 33351

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-10-06 151 NW 1ST AVENUE, DELRAY BEACH, FL 33444 No data
CHANGE OF MAILING ADDRESS 2023-10-06 151 NW 1ST AVENUE, DELRAY BEACH, FL 33444 No data
LC AMENDMENT 2023-10-03 No data No data
REGISTERED AGENT NAME CHANGED 2023-04-29 GOLDBERGE, RANDY M, ESQUIRE No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-29 151 NW 1ST AVENUE, DELRAY BEACH, FL 33444 No data

Documents

Name Date
LC Amendment 2023-10-03
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-04-08
ANNUAL REPORT 2020-05-12
ANNUAL REPORT 2019-01-23
ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2017-04-21
ANNUAL REPORT 2016-04-12
Florida Limited Liability 2015-06-30

Date of last update: 20 Jan 2025

Sources: Florida Department of State