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TILLMAN FAMILY CHIROPRACTIC, LLC

Company Details

Entity Name: TILLMAN FAMILY CHIROPRACTIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Oct 2023 (a year ago)
Document Number: L23000487619
Address: 331 BUSINESS, BUILDING A, SUITE 500, FREEPORT, FL, 32439, US
Mail Address: 89 LAUREL OAKS DRIVE, FREEPORT, FL, 32439, US
ZIP code: 32439
County: Walton
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174371017 2024-05-07 2024-05-07 13295 BUSINESS 331, SUITE A300, FREEPORT, FL, 32439, US 13295 BUSINESS 331, SUITE A300, FREEPORT, FL, 32439, US

Contacts

Phone +1 850-270-1709

Authorized person

Name TRAVIS C TILLMAN
Role OWNER/CHIROPRACTOR
Phone 8504199191

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
TILLMAN TRAVIS C Agent 89 LAUREL OAKS DRIVE, FREEPORT, FL, 32439

Manager

Name Role Address
TILLMAN TRAVIS C Manager 89 LAUREL OAKS DRIVE, FREEPORT, FL, 32439

Authorized Person

Name Role Address
TILLMAN KAREN D Authorized Person 89 LAUREL OAKS DRIVE, FREEPORT, FL, 32439
TILLMAN THOMAS NJR Authorized Person 563 WINDCHIME WAY, FREEPORT, FL, 32439

Documents

Name Date
Florida Limited Liability 2023-10-25

Date of last update: 03 Feb 2025

Sources: Florida Department of State