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CAPITAL CHIROPRACTIC & REHAB., LLC

Company Details

Entity Name: CAPITAL CHIROPRACTIC & REHAB., LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Nov 2018 (6 years ago)
Document Number: L18000264575
FEI/EIN Number NOT APPLICABLE
Mail Address: 1173 ELEUTHERA DR. NE, PALM BAY, FL, 32905, US
Address: 2910 CAPITAL MEDICAL BLVD., TALLAHASSE, FL, 32308
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639640295 2018-12-07 2018-12-07 8929 SE BRIDGE RD, HOBE SOUND, FL, 334555312, US 2910 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 323084408, US

Contacts

Phone +1 772-546-9591
Fax 7725469535

Authorized person

Name JENEANE WAKULA
Role OFFICE MANAGER
Phone 7722631642

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
DORFMAN DAVID Agent 1173 ELEUTHERA DR. NE, PALM BAY, FL, 32905

Manager

Name Role
DTFP LLC Manager

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-05-04
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-30
Florida Limited Liability 2018-11-13

Date of last update: 02 Feb 2025

Sources: Florida Department of State