| Entity Name: | ADVANCED CLINICAL AND ORTHOPEDIC MASSAGE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Jan 2001 (24 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P01000005334 |
| FEI/EIN Number | 651068563 |
| Address: | 537 GOLDENWOOD WAY, WELLINGTON, FL, 33414 |
| Mail Address: | 537 GOLDENWOOD WAY, WELLINGTON, FL, 33414 |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871670778 | 2006-11-01 | 2008-06-16 | 537 GOLDENWOOD WAY, WELLINGTON, FL, 334144966, US | 2930 OKEECHOBEE BLVD, SUITE 108, WEST PALM BEACH, FL, 334094037, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 561-798-3564 |
| Fax | 5617983564 |
| Phone | +1 561-684-1169 |
| Fax | 5616846112 |
Authorized person
| Name | MR. SIMON W BRISCOE |
| Role | PRESIDENT/CEO |
| Phone | 5616841169 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | MA29117 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF FLORIDA ID # |
| Number | C4052 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRISCOE SIMON W | Agent | 537 GOLDENWOOD WAY, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| BRISCOE SIMON W | President | 537 GOLDENWOOD WAY, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| BRISCOE SIMON W | Treasurer | 537 GOLDENWOOD WAY, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| BRISCOE SIMON W | Secretary | 537 GOLDENWOOD WAY, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2008-10-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-07-09 | 537 GOLDENWOOD WAY, WELLINGTON, FL 33414 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-07-09 | BRISCOE, SIMON WMR | No data |
| NAME CHANGE AMENDMENT | 2003-11-17 | ADVANCED CLINICAL AND ORTHOPEDIC MASSAGE INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-09-18 | 537 GOLDENWOOD WAY, WELLINGTON, FL 33414 | No data |
| NAME CHANGE AMENDMENT | 2001-02-08 | FAMILY MASSAGE THERAPY INC, | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2008-10-27 |
| ANNUAL REPORT | 2007-07-09 |
| ANNUAL REPORT | 2006-07-04 |
| ANNUAL REPORT | 2005-05-09 |
| ANNUAL REPORT | 2004-05-17 |
| Name Change | 2003-11-17 |
| ANNUAL REPORT | 2003-04-30 |
| ANNUAL REPORT | 2002-09-18 |
| Name Change | 2001-02-08 |
| Domestic Profit | 2001-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
