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BRYAN M. WELLS, DC, PLLC

Company Details

Entity Name: BRYAN M. WELLS, DC, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Mar 2017 (8 years ago)
Document Number: L17000063260
FEI/EIN Number 82-0904445
Address: 780 US 1,, SUITE 201, VERO BEACH, FL, 32962
Mail Address: 780 US 1,, SUITE 201, VERO BEACH, FL, 32962
ZIP code: 32962
County: Indian River
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083149389 2017-04-24 2017-04-24 780 US HIGHWAY 1 UNIT 201, VERO BEACH, FL, 329621662, US 780 US HIGHWAY 1 UNIT 201, VERO BEACH, FL, 329621662, US

Contacts

Phone +1 772-633-8814

Authorized person

Name DR. BRYAN M WELLS
Role OWNER/DIRECTOR
Phone 7726338814

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH10537
State FL
Is Primary Yes

Agent

Name Role Address
WELLS BRYAN M Agent 780 US1 ,SUITE 201, VERO BEACH, FL, 32962

Manager

Name Role Address
WELLS DR. BRYAN M Manager 816 4th street, VERO BEACH, FL, 32962

Authorized Representative

Name Role Address
WELLS REGINA Authorized Representative 816 4th street, VERO BEACH, FL, 32962

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000038165 FLORIDA SPINE ACTIVE 2023-03-23 2028-12-31 No data 780 US1, SUITE 201, VERO BEACH, FL, 32962
G17000030625 FLORIDA SPINE EXPIRED 2017-03-22 2022-12-31 No data 7855 105TH AVE, VERO BEACH, FL, 32967

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-03-23
ANNUAL REPORT 2022-02-21
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-03-05
Florida Limited Liability 2017-03-20

Date of last update: 01 Feb 2025

Sources: Florida Department of State