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PURA VIDA CHIROPRACTIC LLC

Company Details

Entity Name: PURA VIDA CHIROPRACTIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Nov 2018 (6 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 17 Jan 2023 (2 years ago)
Document Number: L18000272411
FEI/EIN Number 832647877
Address: 3959 South Nova Road, PORT ORANGE, FL, 32127, US
Mail Address: 5609 VICTORIA GARDEN BLVD, 1603, PORT ORANGE, FL, 32127, US
ZIP code: 32127
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700359759 2019-01-02 2019-01-02 3959 S NOVA RD STE 9, PORT ORANGE, FL, 321274900, US 3959 S NOVA RD STE 9, PORT ORANGE, FL, 321274900, US

Contacts

Phone +1 727-220-6778
Fax 3867612522

Authorized person

Name DR. NICOLLE JEAN SCHULTZE
Role OWNER
Phone 7272206778

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
SCHULTZE NICOLLE JDR Agent 5609 VICTORIA GARDEN BLVD, PORT ORANGE, FL, 32127

Manager

Name Role Address
SCHULTZE NICOLLE JDR Manager 5609 VICTORIA GARDEN BLVD #1603, PORT ORANGE, FL, 32127

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-01-17 No data No data
REGISTERED AGENT NAME CHANGED 2023-01-17 SCHULTZE, NICOLLE J, DR No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2020-03-17 3959 South Nova Road, Suite 9, PORT ORANGE, FL 32127 No data

Documents

Name Date
ANNUAL REPORT 2024-03-07
REINSTATEMENT 2023-01-17
ANNUAL REPORT 2021-04-14
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-04-09
Florida Limited Liability 2018-11-26

Date of last update: 01 Feb 2025

Sources: Florida Department of State