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BEACHTOWN CHIROPRACTIC CO., LLC

Company Details

Entity Name: BEACHTOWN CHIROPRACTIC CO., LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 May 2018 (7 years ago)
Document Number: L18000125260
FEI/EIN Number 83-0611004
Address: 15600 PANAMA CITY BEACH PARKWAY UNIT 700, PANAMA CITY BEACH, FL, 32413, US
Mail Address: 144 SIDECAMP ROAD, INLET BEACH, FL, 32461, US
ZIP code: 32413
County: Bay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336625532 2018-07-11 2018-10-24 323 AIRPORT RD STE C, AUBURN, AL, 368305701, US 15600 PANAMA CITY BEACH PKWY UNIT 700, PANAMA CITY BEACH, FL, 324135430, US

Contacts

Phone +1 334-212-0101
Phone +1 334-790-0484

Authorized person

Name JEFFREY TYLER GREGORY
Role DOCTOR OF CHIROPRACTIC
Phone 3347900484

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH12515
State FL
Is Primary Yes

Agent

Name Role Address
GREGORY JEFFREY W Agent 144 SIDECAMP ROAD, INLET BEACH, FL, 32461

Authorized Member

Name Role Address
GREGORY JEFFREY T Authorized Member 144 SIDECAMP ROAD, INLET BEACH, FL, 32461

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000053535 BEACHTOWN HEALTH & WELLNESS ACTIVE 2024-04-23 2029-12-31 No data 15600 PANAMA CITY BEACH PARKWAY UNIT 700, PANAMA CITY BEACH, FL, 32413

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-03-08 144 SIDECAMP ROAD, INLET BEACH, FL 32461 No data
CHANGE OF PRINCIPAL ADDRESS 2021-01-11 15600 PANAMA CITY BEACH PARKWAY UNIT 700, PANAMA CITY BEACH, FL 32413 No data
CHANGE OF MAILING ADDRESS 2021-01-11 15600 PANAMA CITY BEACH PARKWAY UNIT 700, PANAMA CITY BEACH, FL 32413 No data

Documents

Name Date
ANNUAL REPORT 2024-03-25
ANNUAL REPORT 2023-04-07
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-06-24
ANNUAL REPORT 2019-04-01
Florida Limited Liability 2018-05-18

Date of last update: 01 Feb 2025

Sources: Florida Department of State