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BECKERTON CHIROPRACTIC, PLLC

Company Details

Entity Name: BECKERTON CHIROPRACTIC, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Apr 2017 (8 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 03 Jul 2017 (8 years ago)
Document Number: L17000078224
FEI/EIN Number 82-1097980
Address: 463392 State ROAD 200, YULEE, FL, 32097, US
Mail Address: 463392 State ROAD 200, YULEE, FL, 32097, US
ZIP code: 32097
County: Nassau
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770018467 2017-05-01 2021-12-18 463392 EAST STATE ROAD 200, YULEE, FL, 32097, US 464073 EAST STATE ROAD 200, YULEE, FL, 32034, US

Contacts

Phone +1 716-704-9002
Fax 9045139206

Authorized person

Name DR. THOMAS PATRICK BECKERTON
Role MANAGER/SOLE MEMBER
Phone 7167049002

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH11597
State FL
Is Primary Yes

Agent

Name Role Address
LePrell Samuel L Agent 1930 SAN MARCO BLVD., JACKSONVILLE, FL, 32207

Manager

Name Role Address
BECKERTON THOMAS P Manager 464073 EAST STATE ROAD 200, YULEE, FL, 32097

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000056650 FERNANDINA CHIROPRACTIC CENTER ACTIVE 2017-05-22 2027-12-31 No data 463392 EAST STATE ROAD 200, YULEE, FL, 32097

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-26 463392 State ROAD 200, YULEE, FL 32097 No data
CHANGE OF MAILING ADDRESS 2024-01-26 463392 State ROAD 200, YULEE, FL 32097 No data
REGISTERED AGENT NAME CHANGED 2023-03-06 LePrell, Samuel L. No data
LC AMENDMENT 2017-07-03 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-09
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-02-08
ANNUAL REPORT 2019-03-09
ANNUAL REPORT 2018-02-10
LC Amendment 2017-07-03
Florida Limited Liability 2017-04-07

Date of last update: 02 Feb 2025

Sources: Florida Department of State