| Entity Name: | 100 CHIRO ROSADO PT ORANGE PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Nov 2023 (a year ago) |
| Document Number: | L23000510599 |
| FEI/EIN Number | 93-4407980 |
| Mail Address: | 9906 W LINEBAUGH AVE, TAMPA, FL 33626 |
| Address: | 5517 S WILLIAMSON BLVD, STE 305, PORT ORANGE, FL 32128 |
| ZIP code: | 32128 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144095605 | 2023-11-15 | 2024-06-24 | 5517 S WILLIAMSON BLVD STE 305, PORT ORANGE, FL, 321288310, US | 5517 S WILLIAMSON BLVD STE 305, PORT ORANGE, FL, 321288310, US | |||||||||||||||
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| Phone | +1 386-444-7700 |
| Fax | 3864447070 |
Authorized person
| Name | DR. PEDRO ROSADO |
| Role | OWNER |
| Phone | 8134954181 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROSADO, PEDRO, DC | Agent | 9906 W LINEBAUGH AVE, TAMPA, FL 33626 |
| Name | Role | Address |
|---|---|---|
| ROSADO, PEDRO, DC | Manager | 5517 S WILLIAMSON BLVD STE 305, PORT ORANGE, FL 32128 |
| Name | Role | Address |
|---|---|---|
| Potochnik, Matthew Lawrence | Authorized Representative | 5919 Broken Bow Lane, Port Orange, FL 32127 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-10 | 5517 S WILLIAMSON BLVD, STE 305, PORT ORANGE, FL 32128 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-06-10 |
| ANNUAL REPORT | 2024-02-07 |
| Florida Limited Liability | 2023-11-10 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
