| Entity Name: | BOYRER CHIROPRACTIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Mar 2000 (25 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P00000031832 |
| FEI/EIN Number | 650995677 |
| Address: | 19910 SOUTH TAMIAMI TRAIL, SUITE D, ESTERO, FL, 33928, US |
| Mail Address: | 19910 SOUTH TAMIAMI TRAIL, SUITE D, ESTERO, FL, 33928, US |
| ZIP code: | 33928 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285892760 | 2008-05-30 | 2017-05-25 | 19910 S TAMIAMI TRL STE C, ESTERO, FL, 339284140, US | 19910 S TAMIAMI TRL STE D, ESTERO, FL, 339284140, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 239-948-1222 |
| Fax | 2399481220 |
Authorized person
| Name | KRISTINA D WILLIAMS |
| Role | OFFICE MANAGER |
| Phone | 2399481222 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7822 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 3813444-00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOUCHER LYETTE | Agent | 19910 SOUTH TAMIAMI TRAIL, ESTERO, FL, 33928 |
| Name | Role | Address |
|---|---|---|
| Boucher Lyette | Director | 19910 SOUTH TAMIAMI TRAIL, ESTERO, FL, 33928 |
| Name | Role | Address |
|---|---|---|
| Boucher Lyette | President | 19910 SOUTH TAMIAMI TRAIL, ESTERO, FL, 33928 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000037489 | KINEXIS CHIROPRACTIC | EXPIRED | 2016-04-13 | 2021-12-31 | No data | 19910 S. TAMIAMI TRAIL STE. D, ESTERO, FL, 33928 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-25 | 19910 SOUTH TAMIAMI TRAIL, SUITE D, ESTERO, FL 33928 | No data |
| CHANGE OF MAILING ADDRESS | 2016-01-25 | 19910 SOUTH TAMIAMI TRAIL, SUITE D, ESTERO, FL 33928 | No data |
| AMENDMENT | 2016-01-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-08-25 | BOUCHER, LYETTE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-02-14 |
| ANNUAL REPORT | 2016-01-25 |
| AMENDED ANNUAL REPORT | 2015-08-25 |
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-01-18 |
| ANNUAL REPORT | 2012-01-25 |
| ANNUAL REPORT | 2011-01-11 |
| ANNUAL REPORT | 2010-01-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
