| Entity Name: | CHARLES OLIVERI, D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Sep 2000 (24 years ago) |
| Date of dissolution: | 15 Mar 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 15 Mar 2024 (a year ago) |
| Document Number: | P00000089703 |
| FEI/EIN Number | 651044040 |
| Address: | 626 SE Central Parkway, STUART, FL, 34994, US |
| Mail Address: | 626 SE Central Parkway, STUART, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1336449362 | 2010-10-25 | 2010-10-25 | 1990 SE OCEAN BLVD, STUART, FL, 349963302, US | 1990 SE OCEAN BLVD, STUART, FL, 349963302, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 772-223-9597 |
| Fax | 7722231110 |
Authorized person
| Name | DR. CHARLES OLIVERI |
| Role | OWNER |
| Phone | 7722239597 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH6517 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | 350053282 |
| State | GA |
| Issuer | AETNA |
| Number | 2445272 |
| State | KY |
| Issuer | BLUE CROSS/BLUE OF FLORIDA |
| Number | 55334 |
| State | FL |
| Issuer | HUMANA |
| Number | 948552 |
| State | KY |
| Issuer | MEDICARE |
| Number | 55334A |
| State | FL |
| Issuer | UNITED HEALTHCARE |
| Number | 628367 |
| State | GA |
| Issuer | GHI |
| Number | 9614467 |
| State | NY |
| Name | Role | Address |
|---|---|---|
| OLIVERI JOANNE | Agent | 626 SE Central Parkway, STUART, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| OLIVERI CHARLES | Director | 626 SE Central Parkway, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-31 | 626 SE Central Parkway, STUART, FL 34994 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-31 | 626 SE Central Parkway, STUART, FL 34994 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-31 | 626 SE Central Parkway, STUART, FL 34994 | No data |
| AMENDMENT | 2000-09-25 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-15 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-02-18 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-02-27 |
| ANNUAL REPORT | 2017-01-21 |
| ANNUAL REPORT | 2016-03-03 |
| ANNUAL REPORT | 2015-03-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
