| Entity Name: | PALM HARBOR CHIROPRACTIC AND REHABILITATION CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PALM HARBOR CHIROPRACTIC AND REHABILITATION CLINIC, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 05 Sep 2000 (25 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P00000085015 |
| FEI/EIN Number |
651036169
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 34258 U.S. HWY 19 N., PALM HARBOR, FL, 34684 |
| Mail Address: | 34258 U.S. HWY 19 N., PALM HARBOR, FL, 34684 |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487623229 | 2006-03-15 | 2010-03-22 | 36081 US HIGHWAY 19 N, PALM HARBOR, FL, 346841531, US | 36081 US HIGHWAY 19 N, PALM HARBOR, FL, 346841531, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-786-7574 |
| Fax | 7277730863 |
Authorized person
| Name | JAMIE NIEHR |
| Role | BILLING MANAGER |
| Phone | 7277867574 |
Taxonomy
| Taxonomy Code | 111NN0400X - Neurology Chiropractor |
| License Number | CH7842 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 111NR0400X - Rehabilitation Chiropractor |
| License Number | CH7842 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS AND BLUE SHIEL |
| Number | 53945 |
| State | FL |
| Issuer | MEDICAID |
| Number | 381350900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KERR BARTLEY H | Director | 10542 SABELLA DRIVE, TRINITY, FL, 34655 |
| KERR HARVARD C | Agent | 1337 TRIMARAN PL, TRINITY, FL, 34655 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000078748 | SPINE ASSOCIATES OF FLORIDA | EXPIRED | 2010-08-26 | 2015-12-31 | - | 36081 U.S. HIGHWAY 19 N, PALM HARBOR, FL, 34684 |
| G10000040147 | SPINE ASSOCIATES OF PASCO | EXPIRED | 2010-05-06 | 2015-12-31 | - | 36081 U.S. HIGHWAY 19 N, PALM HARBOR, FL, 34684 |
| G10000040155 | SPINE ASSOCIATES OF PINELLAS | EXPIRED | 2010-05-06 | 2015-12-31 | - | 36081 U.S. HIGHWAY 19 N, PALM HARBOR, FL, 34684 |
| G09105900340 | THE WELLNESS CENTER AT TRINITY SPINE | EXPIRED | 2009-04-15 | 2014-12-31 | - | 36081 U.S. HIGHWAY 19 NORTH, PALM HARBOR, FL, 34684 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-09-14 | 34258 U.S. HWY 19 N., PALM HARBOR, FL 34684 | - |
| CHANGE OF MAILING ADDRESS | 2011-09-14 | 34258 U.S. HWY 19 N., PALM HARBOR, FL 34684 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-24 | 1337 TRIMARAN PL, TRINITY, FL 34655 | - |
| AMENDMENT AND NAME CHANGE | 2000-12-11 | PALM HARBOR CHIROPRACTIC AND REHABILITATION CLINIC, INC. | - |
| REGISTERED AGENT NAME CHANGED | 2000-12-11 | KERR, HARVARD C | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-20 |
| ANNUAL REPORT | 2014-04-23 |
| ANNUAL REPORT | 2013-04-24 |
| ANNUAL REPORT | 2012-04-25 |
| ANNUAL REPORT | 2011-04-25 |
| ANNUAL REPORT | 2010-02-24 |
| ANNUAL REPORT | 2009-02-02 |
| ANNUAL REPORT | 2008-04-06 |
| ANNUAL REPORT | 2007-02-01 |
| ANNUAL REPORT | 2006-01-12 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
