| Entity Name: | CHIRO & LASER ST. AUGUSTINE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Mar 2022 (3 years ago) |
| Document Number: | L22000128323 |
| FEI/EIN Number | 88-1520039 |
| Address: | 1092 S PONCE DE LEON BLVD, STE K, ST. AUGUSTINE, FL 32084 |
| Mail Address: | 1092 S PONCE DE LEON BLVD, STE K, ST. AUGUSTINE, FL 32084 |
| ZIP code: | 32084 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578204459 | 2022-04-05 | 2022-06-01 | 1092 S PONCE DE LEON BLVD STE K, ST AUGUSTINE, FL, 320846018, US | 1092 S PONCE DE LEON BLVD STE K, ST AUGUSTINE, FL, 320846018, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 940-460-2923 |
Authorized person
| Name | DR. JASON PALMER |
| Role | OWNER |
| Phone | 9098005839 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PALMER, JASON | Agent | 1092 S PONCE DE LEON BLVD, STE K, ST. AUGUSTINE, FL 32084 |
| Name | Role | Address |
|---|---|---|
| PALMER, JASON | Authorized Member | 1092 S PONCE DE LEON BLVD, STE K, ST AUGUSTINE, FL 32084 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-03-13 |
| Florida Limited Liability | 2022-03-14 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
