| Entity Name: | SPACE COAST CHIROPRACTIC & ACUPUNCTURE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jan 2022 (3 years ago) |
| Document Number: | L22000046950 |
| FEI/EIN Number | 88-0566476 |
| Address: | 1051 Port Malabar Blvd. NE, PALM BAY, FL, 32905, US |
| Mail Address: | 1051 Port Malabar Blvd. NE, PALM BAY, FL, 32905, US |
| ZIP code: | 32905 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821746702 | 2022-03-10 | 2022-03-10 | 1051 PORT MALABAR BLVD NE STE 2, PALM BAY, FL, 329055153, US | 1051 PORT MALABAR BLVD NE STE 2, PALM BAY, FL, 329055153, US | |||||||||||||||
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| Phone | +1 321-307-7307 |
| Fax | 3212654211 |
Authorized person
| Name | DR. BRAD FARNEY |
| Role | OWNER |
| Phone | 3213077307 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPACE COAST CHIROPRACTIC & ACUPUNCTURE PLLC 401(K) PLAN | 2023 | 880566476 | 2024-10-03 | SPACE COAST CHIROPRACTIC & ACUPUNCTURE PLLC | 2 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-03 |
| Name of individual signing | ALLISON BRECHER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Farney Brad LDr. | Agent | 1051 PORT MALABAR Blvd, PALM BAY, FL, 32905 |
| Name | Role | Address |
|---|---|---|
| FARNEY BRAD | Manager | 1051 PORT MALABAR blvd, PALM BAY, FL, 32905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-07 | 1051 Port Malabar Blvd. NE, Suite 5, PALM BAY, FL 32905 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-07 | 1051 Port Malabar Blvd. NE, Suite 5, PALM BAY, FL 32905 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-24 | Farney, Brad L, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-24 | 1051 PORT MALABAR Blvd, SUITE 2, PALM BAY, FL 32905 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-22 | 1051 PORT MALABAR Blvd, SUITE 2, PALM BAY, FL 32905 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-22 | 1051 PORT MALABAR Blvd, SUITE 2, PALM BAY, FL 32905 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-22 |
| Florida Limited Liability | 2022-01-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
