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JEFFREY R. COHEN D.C., P.A.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
COHEN JEFFREY R Agent 4389 Hunting Trail, LAKE WORTH, FL, 33467

President

Name Role Address
COHEN JEFFREY RDr. President 4389 Hunting Trail, Lake Worth, FL, 33467

Fictitious Names

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

Events

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