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RUSSO CHIROPRACTIC AND REHAB, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
DR FRED RUSSO Agent 3689 COOLIDGE CT UNIT 7, TALLAHASSEE, FL, 32311

Mgmb

Name Role Address
Russo Fred EDr. Mgmb 3207 Shamrock E, Tallahassee, FL, 32309

Documents

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