| Entity Name: | JACHIMEK CHIROPRACTIC CLINIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 Apr 2001 (24 years ago) |
| Date of dissolution: | 06 Mar 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 Mar 2024 (a year ago) |
| Document Number: | P01000037626 |
| FEI/EIN Number | 593721292 |
| Address: | 5111 EHRLICH RD., SUITE 128, TAMPA, FL, 33624, US |
| Mail Address: | 5111 EHRLICH RD., SUITE 128, TAMPA, FL, 33624, US |
| ZIP code: | 33624 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316128739 | 2007-11-15 | 2008-10-06 | 5111 EHRLICH RD, SUITE 128, TAMPA, FL, 336242075, US | 5111 EHRLICH RD, SUITE 128, TAMPA, FL, 336242075, US | |||||||||||||||||||||||||
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| Phone | +1 813-960-2225 |
| Fax | 8139681784 |
Authorized person
| Name | DR. RICHARD HENRY JACHIMEK |
| Role | PRESIDENT |
| Phone | 8139602225 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH6622 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 382258300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JACHIMEK RICHARD H | Agent | 4409 KETTLE CREEK COURT, TAMPA, FL, 33624 |
| Name | Role | Address |
|---|---|---|
| RICHARD H. JACHIMEK AND GAIL A.C. JACHIMEK | Director | 4409 KETTLE CREEK COURT, TAMPA, FL, 33624 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-06 | No data | No data |
| AMENDMENT | 2016-10-21 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-05 | 4409 KETTLE CREEK COURT, TAMPA, FL 33624 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-07-24 | 5111 EHRLICH RD., SUITE 128, TAMPA, FL 33624 | No data |
| CHANGE OF MAILING ADDRESS | 2008-07-24 | 5111 EHRLICH RD., SUITE 128, TAMPA, FL 33624 | No data |
| NAME CHANGE AMENDMENT | 2001-06-07 | JACHIMEK CHIROPRACTIC CLINIC, P.A. | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-03-06 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-09 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-26 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-01-28 |
| Amendment | 2016-10-21 |
| ANNUAL REPORT | 2016-01-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
