| Entity Name: | CHIEFLAND CHIROPRACTIC, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Jan 2022 (3 years ago) |
| Document Number: | L22000033658 |
| FEI/EIN Number | 87-4744083 |
| Address: | 410 N MAIN ST, SUITE 11, CHIEFLAND, FL 32626 |
| Mail Address: | 410 N MAIN ST, SUITE 11, CHIEFLAND, FL 32626 |
| ZIP code: | 32626 |
| County: | Levy |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659560928 | 2007-10-23 | 2022-03-23 | 410 N. MAIN ST, SUITE 11, CHIEFLAND, FL, 32626, US | 410 N. MAIN ST, SUITE 11, CHIEFLAND, FL, 32626, US | |||||||||||||||||||||
|
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| Phone | +1 352-949-0843 |
| Fax | 3524907177 |
| Phone | +1 352-490-7077 |
Authorized person
| Name | MR. JOSH WILSON |
| Role | DOCTOR/PRESIDENT |
| Phone | 3529490843 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH2662 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WILSON, JOSHUA M | Agent | 410 N MAIN ST, SUITE 11, CHIEFLAND, FL 32626 |
| Name | Role | Address |
|---|---|---|
| WILSON, JOSHUA M | Manager | 410 N MAIN ST, SUITE 11, CHIEFLAND, FL 32626 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-13 |
| Florida Limited Liability | 2022-01-18 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
