| Entity Name: | ACADEMY FOR FIVE ELEMENT ACUPUNCTURE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 16 Oct 1995 (29 years ago) |
| Document Number: | N95000004909 |
| FEI/EIN Number | 650621012 |
| Address: | 315 SE 2nd Avenue, GAINESVILLE, FL, 32601, US |
| Mail Address: | 315 SE 2nd Avenue, GAINESVILLE, FL, 32601, US |
| ZIP code: | 32601 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1033345350 | 2009-06-01 | 2013-07-23 | 305 SE 2ND AVE, GAINESVILLE, FL, 326016811, US | 305 SE 2ND AVE, GAINESVILLE, FL, 326016811, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-335-2332 |
| Fax | 3523372535 |
Authorized person
| Name | MISTI G. OXFORD-PICKERAL |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3523352332 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP 676 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP 861 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP 2418 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP 1668 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP 2499 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP 2500 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP 2619 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP 310 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP1371 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JOHNSON REBEKAH | Agent | 1808 SW 75 TERRACE, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| Smith Pamela | Secretary | 1801 NW 11th Rd, Gainesville, FL, 32605 |
| Name | Role | Address |
|---|---|---|
| Chapman-Wilson Tim | Treasurer | 402 E. Main Street, Centralia, WA, 98531 |
| Name | Role | Address |
|---|---|---|
| Johnson Rebekah | Exec | 1808 SW 75 Terrace, Gainesville, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| OXFORD-PICKERAL MISTI | Boar | 3415 NW 5TH STREET, GAINESVILLE, FL, 32609 |
| Ellrich Barbara | Boar | 2024 A Natures Bend Drive, Fernandina Beach, FL, 32034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 1997-10-17 | ACADEMY FOR FIVE ELEMENT ACUPUNCTURE, INC. | No data |
| NAME CHANGE AMENDMENT | 1995-11-27 | THE WORSLEY INSTITUTE OF CLASSICAL ACUPUNCTURE, INC. | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
