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PRISM CHIROPRACTIC AND WELLNESS CENTER, L.L.C. - Florida Company Profile

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Company Details

Entity Name: PRISM CHIROPRACTIC AND WELLNESS CENTER, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Jun 2022 (3 years ago)
Document Number: L22000286842
FEI/EIN Number 88-2971434
Mail Address: 2200 NE 26th St, Wilton Manors, FL, 33305, US
Address: 2200 NE 26th ST, Wilton Manors, FL, 33305, US
ZIP code: 33305
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DOMINIQUE PARKER Director 2200 NE 26th St, WILTON MANORS, 33305
Dominique Parker CDr. Agent 2200 NE 26th ST, Wilton Manors, FL, 33305

National Provider Identifier

NPI Number:
1881437978
Certification Date:
2024-06-17

Authorized Person:

Name:
DR. PARKER CLIVE DOMINIQUE
Role:
PRESIDENT/ CEO
Phone:

Taxonomy:

Selected Taxonomy:
111NS0005X - Sports Physician Chiropractor
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2025-01-15 2200 NE 26th ST, Unit W, Wilton Manors, FL 33305 -
CHANGE OF PRINCIPAL ADDRESS 2025-01-15 2200 NE 26th ST, Unit W, Wilton Manors, FL 33305 -
CHANGE OF MAILING ADDRESS 2025-01-15 2200 NE 26th ST, Unit W, Wilton Manors, FL 33305 -
REGISTERED AGENT NAME CHANGED 2025-01-15 Dominique, Parker Clive, Dr. -
CHANGE OF PRINCIPAL ADDRESS 2024-03-12 2250 Southwest 71st Terrace, Davie, FL 33317 -
CHANGE OF MAILING ADDRESS 2024-03-12 2250 Southwest 71st Terrace, Davie, FL 33317 -
REGISTERED AGENT NAME CHANGED 2024-03-12 File Florida Co. -
REGISTERED AGENT ADDRESS CHANGED 2024-03-12 7021 University Blvd, Winter Park, FL 32792 -

Documents

Name Date
ANNUAL REPORT 2025-01-15
ANNUAL REPORT 2024-03-12
ANNUAL REPORT 2023-03-21
Florida Limited Liability 2022-06-24

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Date of last update: 01 Jul 2025

Sources: Florida Department of State