| Entity Name: | VITAL WAVE CHIROPRACTIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 24 Jul 2017 (8 years ago) |
| Date of dissolution: | 11 Apr 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 11 Apr 2018 (7 years ago) |
| Document Number: | L17000157579 |
| Address: | 909 NE 20TH AVENUE, FORT LAUDERDALE, FL 33304 |
| Mail Address: | 909 NE 20TH AVENUE, FORT LAUDERDALE, FL 33304 |
| ZIP code: | 33304 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245751338 | 2017-06-29 | 2022-07-21 | 909 NE 20TH AVE, FORT LAUDERDALE, FL, 333043037, US | 909 NE 20TH AVE, FORT LAUDERDALE, FL, 333043037, US | |||||||||||||||||||||||||
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| Phone | +1 954-884-0704 |
Authorized person
| Name | LEAH HUMPHRIES |
| Role | OWNER/CHIROPRACTOR |
| Phone | 9548840704 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH12216 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 111NR0400X - Rehabilitation Chiropractor |
| License Number | CH12216 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUMPHRIES, LEAH V | Agent | 909 NE 20TH AVENUE, FORT LAUDERDALE, FL 33304 |
| Name | Role | Address |
|---|---|---|
| HUMPHRIES, LEAH V | Manager | 909 NE 20TH AVENUE, FORT LAUDERDALE, FL 33304 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-04-11 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2017-07-24 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
