Entity Name: | JEFFREY R. COHEN D.C., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 12 Jul 2000 (25 years ago) |
Document Number: | P00000066821 |
FEI/EIN Number | 651025313 |
Address: | 5804 Jog Road, LAKE WORTH, FL, 33467, US |
Mail Address: | P.O. Box 540234, LAKE WORTH, FL, 33454, US |
ZIP code: | 33467 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1841561156 | 2012-01-18 | 2012-04-18 | 5891 S MILITARY TRL, 3-A, LAKE WORTH, FL, 334636920, US | 5891 S MILITARY TRL, 3-A, LAKE WORTH, FL, 334636920, US | |||||||||||||||
|
Phone | +1 561-967-1950 |
Fax | 5619673735 |
Authorized person
Name | JEFFREY R COHEN |
Role | OWNER |
Phone | 5619671950 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
COHEN JEFFREY R | Agent | 4389 Hunting Trail, LAKE WORTH, FL, 33467 |
Name | Role | Address |
---|---|---|
COHEN JEFFREY RDr. | President | 4389 Hunting Trail, Lake Worth, FL, 33467 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G10000019300 | ADVANTAGE CHIROPRACTIC & SPORTS REHAB | EXPIRED | 2010-03-01 | 2015-12-31 | No data | 5891 S. MILITARY TRAIL, SUITE 3A, LAKE WORTH, FL, 33463 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2011-10-03 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
CANCEL ADM DISS/REV | 2010-02-24 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State