| Entity Name: | WARNER CHIROPRACTIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Jan 2005 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Sep 2015 (9 years ago) |
| Document Number: | M05000000625 |
| FEI/EIN Number | 342030732 |
| Address: | 5240 Bank St, FT MYERS, FL, 33907, US |
| Mail Address: | 5240 Bank St, FT MYERS, FL, 33907, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | NEVADA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629233838 | 2008-07-28 | 2013-09-10 | 11470 S CLEVELAND AVE, FORT MYERS, FL, 339072323, US | 11470 S CLEVELAND AVE, FORT MYERS, FL, 339072323, US | |||||||||||||||||||||||
|
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| Phone | +1 239-489-2225 |
Authorized person
| Name | DR. TODD JOHNSON |
| Role | PRESIDENT |
| Phone | 2394892225 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | 6249 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 380099700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNSON T | Agent | 5240 Bank St, FT MYERS, FL, 33907 |
| Name | Role | Address |
|---|---|---|
| JOHNSON T | Manager | 5240 Bank St, FT MYERS, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-22 | 5240 Bank St, #1, FT MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-22 | 5240 Bank St, #1, FT MYERS, FL 33907 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-22 | 5240 Bank St, #1, FT MYERS, FL 33907 | No data |
| REINSTATEMENT | 2015-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-09-28 | JOHNSON, T | No data |
| REVOKED FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-04-20 |
| REINSTATEMENT | 2015-09-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
