| Entity Name: | LIFECLINIC PHYSICAL THERAPY & CHIROPRACTIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Apr 2016 (9 years ago) |
| Document Number: | L16000067988 |
| FEI/EIN Number | 81-2103314 |
| Address: | 1499 YAMATO RD, BOCA RATON, FL, 33431, US |
| Mail Address: | P.O. Box 549, Chanhassen, MN, 55317, US |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679937601 | 2016-04-06 | 2016-04-06 | PO BOX 549, CHANHASSEN, MN, 553170549, US | 1499 YAMATO RD, BOCA RATON, FL, 334314435, US | |||||||||||||||||
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| Phone | +1 952-229-7558 |
| Fax | 9524741504 |
| Phone | +1 561-208-5900 |
Authorized person
| Name | DR. REZA POUR ALIZADEH |
| Role | CHIROPRACTOR/OWNER |
| Phone | 6128686894 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WRIGHT-EVERHART DONNA | Agent | 1499 YAMATO RD, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| ALIZADEH REZA | Manager | 33 HAMLINE AVE S, ST. PAUL, MN, 55105 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2018-04-09 | 1499 YAMATO RD, BOCA RATON, FL 33431 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-19 |
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-01-21 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-01-26 |
| Florida Limited Liability | 2016-04-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
