| Entity Name: | COASTAL CITY CHIROPRACTIC CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L18000230790 |
| FEI/EIN Number | 83-2066011 |
| Address: | 4550 CLYDE MORRIS BLVD, SUITE D, PORT ORANGE, FL, 32129, US |
| Mail Address: | 4550 CLYDE MORRIS BLVD, SUITE D, 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871069732 | 2018-10-18 | 2018-10-18 | 3939 S ATLANTIC AVE APT A, PORT ORANGE, FL, 321276521, US | 4550 CLYDE MORRIS BLVD STE D, PORT ORANGE, FL, 321294080, US | |||||||||||||
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| Phone | +1 941-504-2257 |
Authorized person
| Name | DR. JENNIFER CHELSIE DEMAIO |
| Role | CHIROPRACTIC PHYSICIAN |
| Phone | 9415042257 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEMAIO JENNIFER C | Agent | 4550 CLYDE MORRIS BLVD, PORT ORANGE, FL, 32129 |
| Name | Role | Address |
|---|---|---|
| DEMAIO JENNIFER C | Manager | 4550 CLYDE MORRIS BLVD, PORT ORANGE, FL, 32129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-15 | 4550 CLYDE MORRIS BLVD, SUITE D, PORT ORANGE, FL 32129 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-11-09 | 4550 CLYDE MORRIS BLVD, SUITE D, PORT ORANGE, FL 32129 | No data |
| CHANGE OF MAILING ADDRESS | 2018-11-09 | 4550 CLYDE MORRIS BLVD, SUITE D, PORT ORANGE, FL 32129 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-04-27 |
| Florida Limited Liability | 2018-09-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
