Entity Name: | STOCK CHIROPRACTIC WELLNESS CENTER, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 16 Jul 2001 (24 years ago) |
Last Event: | NAME CHANGE AMENDMENT |
Event Date Filed: | 18 Jul 2018 (7 years ago) |
Document Number: | P01000069818 |
FEI/EIN Number | 581341606 |
Address: | 2310 Tamiami Trail, Ste 2121, Punta Gorda, FL, 33950, US |
Mail Address: | 2310 Tamiami Trail, Ste 2121, Punta Gorda, FL, 33950, US |
ZIP code: | 33950 |
County: | Charlotte |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1548570799 | 2010-10-20 | 2020-05-29 | 2310 TAMIAMI TRL UNIT 2121, PUNTA GORDA, FL, 339505934, US | 2310 TAMIAMI TRL UNIT 2121, PUNTA GORDA, FL, 339505934, US | |||||||||||||||||||||
|
Phone | +1 941-205-2225 |
Fax | 9412053000 |
Authorized person
Name | DR. JACOB EDWARD STOCK |
Role | OWNER |
Phone | 9412052225 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 022641200 |
State | FL |
Name | Role | Address |
---|---|---|
STOCK JACOB E | Agent | 2310 Tamiami Trail, Punta Gorda, FL, 33950 |
Name | Role | Address |
---|---|---|
STOCK JACOB E | President | 24123 Riverfront Dr, PUNTA GORDA, FL, 33980 |
Name | Role | Address |
---|---|---|
STOCK JACOB E | Director | 24123 Riverfront Dr, PUNTA GORDA, FL, 33980 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G18000091265 | THE FEDER HEALTH CLINIC | ACTIVE | 2018-08-16 | 2028-12-31 | No data | 2310 TAMIAMI TRL UNIT 2121, PUNTA GORDA, FL, 33950 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2019-03-29 | 2310 Tamiami Trail, Ste 2121, Punta Gorda, FL 33950 | No data |
CHANGE OF MAILING ADDRESS | 2019-03-29 | 2310 Tamiami Trail, Ste 2121, Punta Gorda, FL 33950 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2019-03-29 | 2310 Tamiami Trail, Ste 2121, Punta Gorda, FL 33950 | No data |
NAME CHANGE AMENDMENT | 2018-07-18 | STOCK CHIROPRACTIC WELLNESS CENTER, P.A. | No data |
AMENDMENT | 2017-06-06 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2017-06-06 | STOCK, JACOB E. | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-24 |
ANNUAL REPORT | 2023-04-04 |
ANNUAL REPORT | 2022-02-22 |
ANNUAL REPORT | 2021-03-30 |
ANNUAL REPORT | 2020-02-03 |
ANNUAL REPORT | 2019-03-29 |
Name Change | 2018-07-18 |
ANNUAL REPORT | 2018-02-28 |
Amendment | 2017-06-06 |
ANNUAL REPORT | 2017-01-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State