| Entity Name: | NEW JOURNEY CHIROPRACTOR AND WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Dec 2023 (a year ago) |
| Document Number: | L23000536808 |
| FEI/EIN Number | 93-4670386 |
| Address: | 1201 NE 26th Street, Suite 106, Wilton Manors, FL 33305 |
| Mail Address: | 5372 NE 3RD AVENUE, OAKLAND PARK, FL 33334 |
| ZIP code: | 33305 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912778416 | 2024-01-12 | 2024-01-12 | 5372 NE 3RD AVE, OAKLAND PARK, FL, 333341673, US | 1201 NE 26TH ST STE 106, WILTON MANORS, FL, 333051206, US | |||||||||||||||||||||||
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| Phone | +1 786-503-9016 |
| Phone | +1 754-799-3852 |
| Fax | 7547993739 |
Authorized person
| Name | DR. THOMAS MITCHELL WIEST |
| Role | CHIROPRACTIC PHYSICIAN |
| Phone | 7547993852 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPPES |
| Number | 1871279547 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BEAGLE, JAMES W | Agent | 12 SE 7TH STREET, 704, FORT LAUDERDALE, FL 33301 |
| Name | Role | Address |
|---|---|---|
| WIEST, THOMAS M | Managing Member | 5372 NE 3RD AVENUE, OAKLAND PARK, FL 33334 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-06 | 1201 NE 26th Street, Suite 106, Wilton Manors, FL 33305 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| Florida Limited Liability | 2023-12-04 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
