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ST. JOHNS CHIROPRACTIC, PLLC

Company Details

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

National Provider Identifier

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

Contacts

Phone +1 904-290-1312

Authorized person

Name DR. CHASE DANIEL VANDERPOL
Role OWNER
Phone 9703197397

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
VANDERPOL CHASE DDR. Agent 14724 Bulow Creek Drive, JACKSONVILLE, FL, 32258

Authorized Representative

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

Fictitious Names

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

Events

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

Documents

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