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KEITH W. FADY, D.C., P.A.

Company Details

Entity Name: KEITH W. FADY, D.C., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Jan 2001 (24 years ago)
Document Number: P01000005189
FEI/EIN Number 593693149
Address: 14100 WALSINGHAM RD, SUITE 35, LARGO, FL, 33774, US
Mail Address: 14100 WALSINGHAM RD, SUITE 35, LARGO, FL, 33774, US
ZIP code: 33774
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154631570 2010-10-19 2013-09-26 14100 WALSINGHAM RD, SUITE 35, LARGO, FL, 337743248, US 14100 WALSINGHAM RD, SUITE 35, LARGO, FL, 337743248, US

Contacts

Phone +1 727-596-1885
Fax 7275962434

Authorized person

Name DR. KEITH WILLIAM FADY
Role PRESIDENT
Phone 7275961885

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number 4297
State FL
Is Primary Yes

Agent

Name Role Address
FADY KEITH W Agent 14100 WALSINGHAM RD, LARGO, FL, 33774

Director

Name Role Address
FADY KEITH WD.C. Director 14100 WALSINGHAM RD. SUITE 35, LARGO, FL, 33774

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2012-02-15 14100 WALSINGHAM RD, SUITE 35, LARGO, FL 33774 No data
CHANGE OF MAILING ADDRESS 2012-02-15 14100 WALSINGHAM RD, SUITE 35, LARGO, FL 33774 No data
REGISTERED AGENT ADDRESS CHANGED 2012-02-15 14100 WALSINGHAM RD, SUITE 35, LARGO, FL 33774 No data

Documents

Name Date
ANNUAL REPORT 2024-02-20
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-02-15
ANNUAL REPORT 2021-02-15
ANNUAL REPORT 2020-03-05
ANNUAL REPORT 2019-03-14
ANNUAL REPORT 2018-01-24
ANNUAL REPORT 2017-03-16
ANNUAL REPORT 2016-03-30
ANNUAL REPORT 2015-04-21

Date of last update: 03 Feb 2025

Sources: Florida Department of State