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MELBOURNE CHIROPRACTIC, PLLC

Company Details

Entity Name: MELBOURNE CHIROPRACTIC, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Mar 2023 (2 years ago)
Document Number: L23000143024
FEI/EIN Number 92-3229908
Address: 1301 W. EAU GALLIE, 102, MELBOURNE, FL, 32935
Mail Address: 1301 W. EAU GALLIE, 102, MELBOURNE, FL, 32935
ZIP code: 32935
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982383766 2023-07-18 2023-07-18 1301 W EAU GALLIE BLVD STE 102, MELBOURNE, FL, 329355390, US 1301 W EAU GALLIE BLVD STE 102, MELBOURNE, FL, 329355390, US

Contacts

Phone +1 772-577-1733
Fax 7729243377

Authorized person

Name ARDELL SCIENSKI
Role OWNER
Phone 7725771733

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

Agent

Name Role Address
SCIENSKI ARDELL Agent 1301 W. EAU GALLIE, MELBOURNE, FL, 32935

Manager

Name Role Address
SCIENSKI ARDELL Manager 1301 W. EAU GALLIE, 102, MELBOURNE, FL, 32935

Documents

Name Date
ANNUAL REPORT 2024-08-09
Florida Limited Liability 2023-03-21

Date of last update: 02 Feb 2025

Sources: Florida Department of State