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CRESTVIEW CHIROPRACTIC CLINIC, INC.

Company Details

Entity Name: CRESTVIEW CHIROPRACTIC CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Apr 2000 (25 years ago)
Last Event: AMENDMENT
Event Date Filed: 18 Aug 2023 (a year ago)
Document Number: P00000042206
FEI/EIN Number 593640235
Address: 1078 SOUTH FERDON BLVD., SUITE A, CRESTVIEW, FL, 32536, US
Mail Address: POB 145, CRESTVIEW, FL, 32536, US
ZIP code: 32536
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669697751 2007-04-16 2023-11-17 1078 S FERDON BLVD, STE A, CRESTVIEW, FL, 32536, US 1078 S FERDON BLVD, STE A, CRESTVIEW, FL, 32536, US

Contacts

Phone +1 850-682-0381
Fax 8506830981

Authorized person

Name JESSICA SCHOFIELD
Role CHIROPRACTOR/OWNER
Phone 8506820381

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
State FL
Is Primary Yes

Agent

Name Role Address
JESSICA SCHOFIELD Agent 1078 SOUTH FERDON BLVD., CRESTVIEW, FL, 32536

President

Name Role Address
SCHOFIELD JESSICA President 1078 SOUTH FERDON BLVD, CRESTVIEW, FL, 32536

Director

Name Role Address
SCHOFIELD JESSICA Director 1078 SOUTH FERDON BLVD, CRESTVIEW, FL, 32536

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-02-20 1078 SOUTH FERDON BLVD., SUITE A, CRESTVIEW, FL 32536 No data
REGISTERED AGENT NAME CHANGED 2023-09-12 JESSICA SCHOFIELD No data
AMENDMENT 2023-08-18 No data No data
CHANGE OF MAILING ADDRESS 2015-04-03 1078 SOUTH FERDON BLVD., SUITE A, CRESTVIEW, FL 32536 No data
CHANGE OF PRINCIPAL ADDRESS 2003-01-02 1078 SOUTH FERDON BLVD., SUITE A, CRESTVIEW, FL 32536 No data

Documents

Name Date
ANNUAL REPORT 2024-02-20
Amendment 2023-08-18
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-03-18
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-02-28
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-03-11

Date of last update: 02 Feb 2025

Sources: Florida Department of State