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NEW WAVE CHIROPRACTIC LLC

Company Details

Entity Name: NEW WAVE CHIROPRACTIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Apr 2018 (7 years ago)
Document Number: L18000088254
FEI/EIN Number 825093602
Address: 3150 N WICKMAN RD, MELBOURNE, FL, 32935, US
Mail Address: 2891 NEWCASTLE DR NE, PALM BAY, FL, 32905, US
ZIP code: 32935
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326534058 2018-07-05 2022-04-27 3150 N WICKHAM RD STE 5, MELBOURNE, FL, 329352322, US 3150 N WICKHAM RD STE 5, MELBOURNE, FL, 329352322, US

Contacts

Phone +1 321-750-8850
Fax 3212565243

Authorized person

Name ASHLEY SHIVER MINCEY
Role OWNER
Phone 3217508850

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH12446
State FL
Is Primary Yes

Agent

Name Role Address
Mincey Ashley S Agent 2891 Newcastle Dr. NE, Palm Bay, FL, 32905

Manager

Name Role Address
SHIVER MINCEY ASHLEY Manager 2891 NEWCASTLE DR NE, PALM BAY, FL, 32905

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000081554 WILD LIFE CHIROPRACTIC ACTIVE 2020-07-12 2025-12-31 No data 2891 NEWCASTLE DR NE, PALM BAY, FL, 32905

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-07-17 3150 N WICKMAN RD, #5, MELBOURNE, FL 32935 No data
CHANGE OF MAILING ADDRESS 2019-08-20 3150 N WICKMAN RD, #5, MELBOURNE, FL 32935 No data
REGISTERED AGENT NAME CHANGED 2019-02-10 Mincey, Ashley Shiver No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-10 2891 Newcastle Dr. NE, Palm Bay, FL 32905 No data

Documents

Name Date
ANNUAL REPORT 2024-01-18
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-02-07
ANNUAL REPORT 2021-01-08
ANNUAL REPORT 2020-03-23
ANNUAL REPORT 2019-02-10
Florida Limited Liability 2018-04-06

Date of last update: 02 Feb 2025

Sources: Florida Department of State