| Entity Name: | LAKE PLACID CHIROPRACTIC CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
LAKE PLACID CHIROPRACTIC CLINIC, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 20 Jan 2000 (25 years ago) |
| Date of dissolution: | 03 Oct 2011 (14 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Oct 2011 (14 years ago) |
| Document Number: | P00000008866 |
| FEI/EIN Number |
650980085
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2411 US 27 SO, SEBRING, FL, 33870 |
| Mail Address: | 2411 US 27 SO, SEBRING, FL, 33870 |
| ZIP code: | 33870 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225263601 | 2009-05-28 | 2009-09-18 | 2411 US HIGHWAY 27 S, SEBRING, FL, 338704943, US | 2411 US HIGHWAY 27 S, SEBRING, FL, 338704943, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 863-382-9632 |
| Fax | 8633829632 |
Authorized person
| Name | DR. ROBERT T CLARK SR. |
| Role | OWNER |
| Phone | 8636996824 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7378 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 3814891-00 |
| State | FL |
| Issuer | BC/BS |
| Number | 55739 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CLARK ROBERT T | President | 6100 HIGHLAND STREET, SEBRING, FL, 33876 |
| CLARK ROBERT T | Agent | 6100 HIGHLAND ST., SEBRING, FL, 33876 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2011-10-03 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-17 | 2411 US 27 SO, SEBRING, FL 33870 | - |
| CHANGE OF MAILING ADDRESS | 2010-03-17 | 2411 US 27 SO, SEBRING, FL 33870 | - |
| CANCEL ADM DISS/REV | 2009-10-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2007-01-06 | 6100 HIGHLAND ST., SEBRING, FL 33876 | - |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2011-10-03 |
| ANNUAL REPORT | 2011-04-08 |
| ANNUAL REPORT | 2010-03-17 |
| REINSTATEMENT | 2009-10-08 |
| ANNUAL REPORT | 2008-04-15 |
| ANNUAL REPORT | 2007-01-06 |
| ANNUAL REPORT | 2006-02-20 |
| ANNUAL REPORT | 2005-01-07 |
| ANNUAL REPORT | 2004-01-19 |
| ANNUAL REPORT | 2003-03-31 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
