| Entity Name: | JAX CHIROPRACTIC, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Feb 2021 (4 years ago) |
| Document Number: | L21000056149 |
| FEI/EIN Number | 862063571 |
| Address: | 13170 Atlantic Boulevard, #28, JACKSONVILLE, FL, 32225, US |
| Mail Address: | 13170 Atlantic Boulevard, #28, JACKSONVILLE, FL, 32225, US |
| ZIP code: | 32225 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366037434 | 2021-03-01 | 2021-03-01 | 474 MARSH COVE DR, PONTE VEDRA BEACH, FL, 320821837, US | 12086 FORT CAROLINE RD STE 302, JACKSONVILLE, FL, 322257639, US | |||||||||||||||
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| Phone | +1 352-874-3393 |
| Phone | +1 904-564-2500 |
Authorized person
| Name | BLAKE CHRISTIAN MOSER |
| Role | OWER/CHIROPRACTOR |
| Phone | 3528743393 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOSER SHEA MESQ | Agent | 501 W BAY ST, JACKSONVILLE, FL, 32202 |
| Name | Role | Address |
|---|---|---|
| MOSER BLAKE C | Authorized Member | 13170 ATLANTIC BOULEVARD, SUITE 2B, JACKSONVILLE, FL, 32225 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-06 | 13170 Atlantic Boulevard, #28, JACKSONVILLE, FL 32225 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-06 | 13170 Atlantic Boulevard, #28, JACKSONVILLE, FL 32225 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-04-06 |
| Florida Limited Liability | 2021-02-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
