| Entity Name: | PRISM CHIROPRACTIC AND WELLNESS CENTER, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jun 2022 (3 years ago) |
| Document Number: | L22000286842 |
| FEI/EIN Number | 88-2971434 |
| Address: | 2200 NE 26th ST, Unit W, Wilton Manors, FL 33305 |
| Mail Address: | 2200 NE 26th St, Unit W, Wilton Manors, FL 33305 |
| ZIP code: | 33305 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881437978 | 2024-06-17 | 2024-06-17 | 2250 SW 71ST TER, DAVIE, FL, 333177136, US | 2250 SW 71ST TER, DAVIE, FL, 333177136, US | |||||||||||||
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| Phone | +1 305-450-7739 |
Authorized person
| Name | DR. PARKER CLIVE DOMINIQUE |
| Role | PRESIDENT/ CEO |
| Phone | 3054507739 |
Taxonomy
| Taxonomy Code | 111NS0005X - Sports Physician Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Dominique, Parker Clive, Dr. | Agent | 2200 NE 26th ST, Unit W, Wilton Manors, FL 33305 |
| Name | Role | Address |
|---|---|---|
| DOMINIQUE, PARKER | Director | 2200 NE 26th St, Unit A WILTON MANORS 33305 UN |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-15 | 2200 NE 26th ST, Unit W, Wilton Manors, FL 33305 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-15 | 2200 NE 26th ST, Unit W, Wilton Manors, FL 33305 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-15 | 2200 NE 26th ST, Unit W, Wilton Manors, FL 33305 | No data |
| REGISTERED AGENT NAME CHANGED | 2025-01-15 | Dominique, Parker Clive, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-12 | 2250 Southwest 71st Terrace, Davie, FL 33317 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-12 | 2250 Southwest 71st Terrace, Davie, FL 33317 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-03-12 | File Florida Co. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-12 | 7021 University Blvd, Winter Park, FL 32792 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-03-21 |
| Florida Limited Liability | 2022-06-24 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
