| Entity Name: | CUSTOM CHIROPRACTIC SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Nov 2017 (7 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L17000230724 |
| Address: | 1710 BRYAN ST, MELBOURNE, FL, 32901 |
| Mail Address: | 1710 BRYAN ST, MELBOURNE, FL, 32901 |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720592884 | 2017-11-28 | 2017-11-28 | 1710 BRYAN ST # 1, MELBOURNE, FL, 329014412, US | 1710 BRYAN ST # 1, MELBOURNE, FL, 329014412, US | |||||||||||||||||
|
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| Phone | +1 321-768-8005 |
Authorized person
| Name | PAUL RAYMOND FRANK |
| Role | CHIROPRACTOR |
| Phone | 3217688726 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 12332 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FRANK PAUL R | Agent | 1710 BRYAN ST, MELBOURNE, FL, 32901 |
| Name | Role | Address |
|---|---|---|
| FRANK PAUL R | Manager | 1710 BRYAN ST, MELBOURNE, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2017-11-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
