Entity Name: | ST. JOHNS CHIROPRACTIC, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 14 Sep 2020 (4 years ago) |
Last Event: | LC NAME CHANGE |
Event Date Filed: | 03 Jan 2022 (3 years ago) |
Document Number: | L20000287924 |
FEI/EIN Number | 85-3841767 |
Address: | 155 Bartram Market Drive, Suite 113, St. Johns, FL, 32259, US |
Mail Address: | 155 Bartram Market Drive, Suite 113, St. Johns, FL, 32259, US |
ZIP code: | 32259 |
County: | St. Johns |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1891383444 | 2021-01-08 | 2022-05-19 | 14724 BULOW CREEK DR, JACKSONVILLE, FL, 322581173, US | 155 BARTRAM MARKET DR STE 113, ST JOHNS, FL, 322594582, US | |||||||||||||
|
Phone | +1 904-290-1312 |
Authorized person
Name | DR. CHASE DANIEL VANDERPOL |
Role | OWNER |
Phone | 9703197397 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
VANDERPOL CHASE DDR. | Agent | 14724 Bulow Creek Drive, JACKSONVILLE, FL, 32258 |
Name | Role | Address |
---|---|---|
VANDERPOL DIANA VMRS. | Authorized Representative | 155 Bartram Market Drive, St. Johns, FL, 32259 |
Vanderpol Chase DDr. | Authorized Representative | 155 Bartram Market Drive, St. Johns, FL, 32259 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G21000002337 | ST. JOHN'S SPORT & SPINE CHIROPRACTIC | ACTIVE | 2021-01-06 | 2026-12-31 | No data | 114 CARIBBEAN PL, ST. JOHN'S, FL, 32259 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2024-02-05 | 155 Bartram Market Drive, Suite 113, St. Johns, FL 32259 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2023-02-21 | 155 Bartram Market Drive, Suite 113, St. Johns, FL 32259 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-02-28 | 14724 Bulow Creek Drive, JACKSONVILLE, FL 32258 | No data |
LC NAME CHANGE | 2022-01-03 | ST. JOHNS CHIROPRACTIC, PLLC | No data |
LC AMENDMENT AND NAME CHANGE | 2021-10-25 | ST. JOHN'S CHIROPRACTIC, PLLC | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-05 |
ANNUAL REPORT | 2023-02-21 |
ANNUAL REPORT | 2022-02-28 |
LC Name Change | 2022-01-03 |
LC Amendment and Name Change | 2021-10-25 |
ANNUAL REPORT | 2021-04-23 |
Florida Limited Liability | 2020-09-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State