| Entity Name: | MICHAEL PAPA, D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Jan 1990 (35 years ago) |
| Document Number: | L40483 |
| FEI/EIN Number | 650163644 |
| Mail Address: | PO Box 2755, Jupiter, FL, 33468, US |
| Address: | 2632 W INDIANTOWN ROAD,, JUPITER, FL, 33458 |
| ZIP code: | 33458 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669132221 | 2021-12-23 | 2022-01-19 | 2632 W INDIANTOWN RD, JUPITER, FL, 334585889, US | 10377 S US HIGHWAY 1 STE 101, PORT ST LUCIE, FL, 349525630, US | |||||||||||||||||
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| Phone | +1 561-744-7373 |
| Fax | 8007835176 |
| Phone | +1 772-337-1300 |
Authorized person
| Name | ELAINE OSWALD |
| Role | CREDENTIALING SPECIALIST |
| Phone | 5612363741 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PAPA, MICHAEL D.C. | Agent | 6650 INDIANTOWN ROAD, JUPITER, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| PAPA MICHAEL | President | 1124 SAN MICHELE WAY, PALM BEACH GARDENS, FL, 33418 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000073365 | PAPA CHIROPRACTIC | ACTIVE | 2023-06-16 | 2028-12-31 | No data | 2632 W INDIANTOWN ROAD, JUPITER, FL, 33458 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
