| Entity Name: | DEMETREE CHIROPRACTIC GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Aug 2000 (24 years ago) |
| Document Number: | P00000080486 |
| FEI/EIN Number | 59-3662722 |
| Address: | 1750 W BROADWAY STREET, SUITE 108, OVIEDO, FL 32765 |
| Mail Address: | 1750 W BROADWAY STREET, SUITE 108, OVIEDO, FL 32765 |
| ZIP code: | 32765 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386923282 | 2011-08-09 | 2011-08-09 | 1750 W BROADWAY ST, STE# 108, OVIEDO, FL, 327659618, US | 1750 W BROADWAY ST, STE# 108, OVIEDO, FL, 327659618, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 407-977-7233 |
| Fax | 4073596822 |
Authorized person
| Name | DR. DAVID A DEMETREE |
| Role | PRESIDENT |
| Phone | 4079777233 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | CH6994 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 55400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 38-0922600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DEMETREE, DAVID AJR | Agent | 1750 W BROADWAY STREET, SUITE 108, OVIEDO, FL 32765 |
| Name | Role | Address |
|---|---|---|
| DEMETREE, DAVID AJR | President | 1750 W BROADWAY ST, STE 108, OVIEDO, FL 32765 |
| Name | Role | Address |
|---|---|---|
| DEMETREE, DAVID AJR | Secretary | 1750 W BROADWAY ST, STE 108, OVIEDO, FL 32765 |
| Name | Role | Address |
|---|---|---|
| DEMETREE, DAVID AJR | Treasurer | 1750 W BROADWAY ST, STE 108, OVIEDO, FL 32765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2010-03-16 | DEMETREE, DAVID AJR | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2002-06-14 | 1750 W BROADWAY STREET, SUITE 108, OVIEDO, FL 32765 | No data |
| CHANGE OF MAILING ADDRESS | 2002-06-14 | 1750 W BROADWAY STREET, SUITE 108, OVIEDO, FL 32765 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-06-14 | 1750 W BROADWAY STREET, SUITE 108, OVIEDO, FL 32765 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000448793 | TERMINATED | 1000001000426 | SEMINOLE | 2024-06-26 | 2034-07-17 | $ 1,977.29 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| J19000189546 | TERMINATED | 1000000814704 | SEMINOLE | 2019-02-08 | 2029-03-13 | $ 1,096.53 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-04-08 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-02-06 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
