| Entity Name: | LAKE WORTH CHIROPRACTIC CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 10 Aug 1988 (37 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | M93594 |
| FEI/EIN Number | 65-0068681 |
| Address: | 5817 LAKE WORTH ROAD, LAKE WORTH, FL 33463 |
| Mail Address: | 5817 LAKE WORTH ROAD, LAKE WORTH, FL 33463 |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508058082 | 2007-08-17 | 2019-06-14 | 5817 LAKE WORTH RD, GREENACRES, FL, 334633209, US | 5804 JOG ROAD, LAKE WORTH, FL, 33467, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 561-967-0140 |
| Fax | 5616429501 |
| Phone | +1 561-967-7440 |
| Fax | 5619679987 |
Authorized person
| Name | DR. RICHARD S MALTZMAN |
| Role | PRESIDENT |
| Phone | 5619677440 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | CH 0003037 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UPIN |
| Number | T55785 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MALTZMAN, RICHARD | Agent | 5817 LAKE WORTH RD, LAKE WORTH, FL 33463 |
| Name | Role | Address |
|---|---|---|
| MALTZMAN, RICHARD | Secretary | 3817 LAKE WORTH RD, LAKE WORTH, FL 33463 |
| Name | Role | Address |
|---|---|---|
| MALTZMAN, RICHARD | President | 3817 LAKE WORTH RD, LAKE WORTH, FL 33463 |
| Name | Role | Address |
|---|---|---|
| MALTZMAN, RICHARD | Treasurer | 3817 LAKE WORTH RD, LAKE WORTH, FL 33463 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000097598 | LAKE WORTH CHIROPRACTIC | EXPIRED | 2011-10-03 | 2016-12-31 | No data | 5817 LAKE WORTH ROAD, LAKE WORTH, FL, 33463 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-31 | 5817 LAKE WORTH ROAD, LAKE WORTH, FL 33463 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-31 | 5817 LAKE WORTH ROAD, LAKE WORTH, FL 33463 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-31 | 5817 LAKE WORTH RD, LAKE WORTH, FL 33463 | No data |
| REGISTERED AGENT NAME CHANGED | 2003-04-03 | MALTZMAN, RICHARD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-04 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-04-09 |
| ANNUAL REPORT | 2015-04-01 |
| ANNUAL REPORT | 2014-04-08 |
| ANNUAL REPORT | 2013-04-11 |
| ANNUAL REPORT | 2012-03-16 |
| ANNUAL REPORT | 2011-01-31 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
