| Entity Name: | RISE CHIROPRACTIC AND ACUPUNCTURE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Aug 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Nov 2022 (2 years ago) |
| Document Number: | L18000186648 |
| FEI/EIN Number | 83-1513057 |
| Address: | 14815 MANDARIN ROAD,, 103, JACKSONVILLE, FL, 32223, US |
| Mail Address: | 14815 MANDARIN ROAD,, 103, JACKSONVILLE, FL, 32223, US |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104305846 | 2018-08-13 | 2018-10-08 | 14815 MANDARIN RD STE 103, JACKSONVILLE, FL, 322232626, US | 14815 MANDARIN RD STE 103, JACKSONVILLE, FL, 322232626, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 904-512-7449 |
| Fax | 9047648342 |
| Phone | +1 937-623-1906 |
Authorized person
| Name | DAVID J KLOSTERMAN |
| Role | PRACTICE OWNER |
| Phone | 9376231906 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH12491 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KLOSTERMAN DAVID JDR. | Agent | 14815 MANDARIN ROAD,, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| Klosterman David JDR | Manager | 14815 Mandarin Road, Jacksonville, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-11-09 | 14815 MANDARIN ROAD,, 103, JACKSONVILLE, FL 32223 | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-09 | 14815 MANDARIN ROAD,, 103, JACKSONVILLE, FL 32223 | No data |
| REINSTATEMENT | 2022-11-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-10-16 | 14815 MANDARIN ROAD,, 103, JACKSONVILLE, FL 32223 | No data |
| REINSTATEMENT | 2019-10-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-16 | KLOSTERMAN, DAVID J, DR. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-01-19 |
| REINSTATEMENT | 2022-11-09 |
| ANNUAL REPORT | 2020-07-21 |
| REINSTATEMENT | 2019-10-16 |
| Florida Limited Liability | 2018-08-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
