| Entity Name: | PASSION CHIROPRACTIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Feb 2018 (7 years ago) |
| Document Number: | L18000032318 |
| FEI/EIN Number | 82-4249367 |
| Address: | 3510 S Nova Road, PORT ORANGE, FL, 32129, US |
| Mail Address: | 3510 S Nova Road, PORT ORANGE, FL, 32129, US |
| ZIP code: | 32129 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619476744 | 2018-02-05 | 2018-02-05 | 3780 S NOVA RD STE 6, PORT ORANGE, FL, 321294203, US | 3780 S NOVA RD STE 6, PORT ORANGE, FL, 321294203, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 386-453-0683 |
Authorized person
| Name | DR. ASHLEY M HUGHES |
| Role | OWNER |
| Phone | 3869477185 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH11792 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MAJOR MEDICAL INSURANCE COMPANIES |
| Number | 1821451899 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1821451899 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Lankford Law Firm, PA | Agent | 210 South Beach Street, Daytona Beach, FL, 32114 |
| Name | Role | Address |
|---|---|---|
| HUGHES ASHLEY M | Authorized Member | 3510 S Nova Road, PORT ORANGE, FL, 32129 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000107575 | PASSION CHIROPRACTIC & WELLNESS CENTER | ACTIVE | 2019-10-02 | 2029-12-31 | No data | 3510 S. NOVA ROAD, SUITE 111, PORT ORANGE, FL, 32129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-23 | 3510 S Nova Road, #111, PORT ORANGE, FL 32129 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-23 | 3510 S Nova Road, #111, PORT ORANGE, FL 32129 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-23 | 210 South Beach Street, Suite 202, Daytona Beach, FL 32114 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-05-08 | Lankford Law Firm, PA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-03-29 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-05-08 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-02-05 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
