| Entity Name: | REVIVE CHIROPRACTIC & MED SPA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Jul 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L15000122470 |
| Address: | 494 W. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441, US |
| Mail Address: | 494 W. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441, US |
| ZIP code: | 33441 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831566165 | 2015-08-21 | 2015-10-02 | 494 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 334411604, US | 494 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 334411604, US | |||||||||||||||||
|
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| Phone | +1 561-715-7956 |
Authorized person
| Name | DR. MARK RICHARDS |
| Role | PRESIDENT |
| Phone | 5617157956 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8257 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RICHARDS MARK ED.C. | Agent | 494 W HILLSBORO BLVD, DEERFIELD BEACH, FL, 33441 |
| Name | Role | Address |
|---|---|---|
| RICHARDS MARK E | Manager | 494 W. HILLSBORO BLVD., DEERFIELD BEACH, FL, 33441 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-10-16 | 494 W. HILLSBORO BLVD., DEERFIELD BEACH, FL 33441 | No data |
| CHANGE OF MAILING ADDRESS | 2015-10-16 | 494 W. HILLSBORO BLVD., DEERFIELD BEACH, FL 33441 | No data |
| LC STMNT OF RA/RO CHG | 2015-10-05 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-10-05 | 494 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33441 | No data |
| LC AMENDMENT | 2015-08-10 | No data | No data |
| Name | Date |
|---|---|
| CORLCRACHG | 2015-10-05 |
| LC Amendment | 2015-08-10 |
| Florida Limited Liability | 2015-07-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
