| Entity Name: | BICKERTON CHIROPRACTIC WELLNESS CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Jan 2000 (25 years ago) |
| Document Number: | P00000012087 |
| FEI/EIN Number | 593623259 |
| Address: | 4214 LITTLE RD., NEW PORT RICHEY, FL, 34655 |
| Mail Address: | 4214 LITTLE RD., NEW PORT RICHEY, FL, 34655 |
| ZIP code: | 34655 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164565453 | 2007-02-15 | 2009-01-27 | 4214 LITTLE RD, NEW PORT RICHEY, FL, 346551605, US | 4214 LITTLE RD, NEW PORT RICHEY, FL, 346551605, US | |||||||||||||||||||||||||||||||
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| Phone | +1 727-376-7339 |
| Fax | 7273722452 |
Authorized person
| Name | DR. BRIAN ROSS BICKERTON |
| Role | OWNER |
| Phone | 7273767339 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7304 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI INDIVIDUAL |
| Number | 1609973304 |
| State | FL |
| Issuer | BC BS OF FLORIDA |
| Number | 55923 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BICKERTON BRIAN R | Agent | 5641 WESSON RD., NEW PORT RICHEY, FL, 34655 |
| Name | Role | Address |
|---|---|---|
| BICKERTON BRIAN R | Director | 5641 WESSON RD., NEW PORT RICHEY, FL, 34655 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2004-04-06 | 5641 WESSON RD., NEW PORT RICHEY, FL 34655 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-18 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-03-26 |
| ANNUAL REPORT | 2020-04-28 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
