| Entity Name: | ORCHID ISLAND CHIROPRACTIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Sep 2020 (4 years ago) |
| Document Number: | L20000291492 |
| FEI/EIN Number | 85-3167875 |
| Address: | 643 17th Street, Vero Beach, FL, 32960, US |
| Mail Address: | 643 17th Street, Vero Beach, FL, 32960, US |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588263867 | 2020-10-19 | 2023-10-25 | 5056 5TH MNR, VERO BEACH, FL, 329681176, US | 9613 N US HIGHWAY 1, SEBASTIAN, FL, 329586363, US | |||||||||||||||||||
|
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| Phone | +1 772-766-3311 |
Authorized person
| Name | DR. JENNIFER LEIGH CARTER |
| Role | CHIROPRACTOR/OWNER |
| Phone | 7727663311 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | COMMERCIAL INSURANCE |
| Number | 1801193818 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CARTER ANTHONY R | Agent | 643 17th Street, Vero Beach, FL, 32960 |
| Name | Role | Address |
|---|---|---|
| CARTER JENNIFER LD.C. | President | 643 17th Street, Vero Beach, FL, 32960 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-06 | 643 17th Street, Vero Beach, FL 32960 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-06 | 643 17th Street, Vero Beach, FL 32960 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-06 | 643 17th Street, Vero Beach, FL 32960 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-02 |
| Florida Limited Liability | 2020-09-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
