| Entity Name: | REVITALIZE CHIROPRACTIC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Nov 2016 (8 years ago) |
| Document Number: | L16000208363 |
| FEI/EIN Number | 814906073 |
| Address: | 3544 Clark Rd., SARASOTA, FL, 34231, US |
| Mail Address: | 3544 Clark Rd., SARASOTA, FL, 34231, US |
| ZIP code: | 34231 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508394396 | 2017-05-24 | 2022-07-21 | 3544 CLARK RD, SARASOTA, FL, 342318408, US | 3544 CLARK RD, SARASOTA, FL, 342318408, US | |||||||||||||||
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| Phone | +1 941-404-1253 |
Authorized person
| Name | DR. JIANINA G FOLTZ |
| Role | CO-OWNER/CHIROPRACTOR |
| Phone | 9414041253 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WASEM ANTHONY R | Agent | 3544 Clark Rd., SARASOTA, FL, 34231 |
| Name | Role | Address |
|---|---|---|
| WASEM ANTHONY R | Manager | 3544 Clark Rd., SARASOTA, FL, 34231 |
| FOLTZ JIANINA G | Manager | 3544 Clark Rd., SARASOTA, FL, 34231 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-05-01 | 3544 Clark Rd., SARASOTA, FL 34231 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-07-01 | 3544 Clark Rd., SARASOTA, FL 34231 | No data |
| CHANGE OF MAILING ADDRESS | 2018-07-01 | 3544 Clark Rd., SARASOTA, FL 34231 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-07-01 |
| ANNUAL REPORT | 2017-02-06 |
| Florida Limited Liability | 2016-11-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
