Entity Name: | RUSSO CHIROPRACTIC AND REHAB, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 09 Jan 2023 (2 years ago) |
Document Number: | L23000018045 |
FEI/EIN Number | 92-2197788 |
Address: | 3689 COOLIDGE CT UNIT 7, TALLAHASSEE, FL, 32311, US |
Mail Address: | 3689 COOLIDGE CT UNIT 7, TALLAHASSEE, FL, 32311, US |
ZIP code: | 32311 |
County: | Leon |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1811769243 | 2023-10-30 | 2024-01-18 | 3689 COOLIDGE CT UNIT 7, TALLAHASSEE, FL, 323117912, US | 3689 COOLIDGE CT UNIT 7, TALLAHASSEE, FL, 323117912, US | |||||||||||||||
|
Phone | +1 850-422-2225 |
Fax | 8503914661 |
Authorized person
Name | DR. FRED E RUSSO |
Role | CHIROPRACTOR |
Phone | 8504222225 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DR FRED RUSSO | Agent | 3689 COOLIDGE CT UNIT 7, TALLAHASSEE, FL, 32311 |
Name | Role | Address |
---|---|---|
Russo Fred EDr. | Mgmb | 3207 Shamrock E, Tallahassee, FL, 32309 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-30 |
Florida Limited Liability | 2023-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State