| Entity Name: | LEE CHIROPRACTIC CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Dec 2001 (23 years ago) |
| Document Number: | P01000120653 |
| FEI/EIN Number | 470848630 |
| Address: | 3667 BAHIA VISTA ST., A, SARASOTA, FL, 34232 |
| Mail Address: | 3667 BAHIA VISTA ST., A, SARASOTA, FL, 34232 |
| ZIP code: | 34232 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578631271 | 2006-12-01 | 2008-06-16 | 3667 BAHIA VISTA ST STE A, SARASOTA, FL, 342322407, US | 3667 BAHIA VISTA ST STE A, SARASOTA, FL, 342322407, US | |||||||||||||||||||||||||
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| Phone | +1 941-927-5913 |
| Fax | 9419275914 |
Authorized person
| Name | DR. STEPHEN DOUGLAS LEE |
| Role | PRESIDENT |
| Phone | 9419275913 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8003 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 280009800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEE STEPHEN D | Agent | 3667 BAHIA VISTA ST., SARASOTA, FL, 34232 |
| Name | Role | Address |
|---|---|---|
| LEE STEPHEN D | President | 3667 BAHIA VISTA ST A, SARASOTA, FL, 34232 |
| LEE APRIL M | President | 3667 BAHIA VISTA ST. A, SARASOTA, FL, 34232 |
| Name | Role | Address |
|---|---|---|
| LEE APRIL M | Vice President | 3667 BAHIA VISTA ST. A, SARASOTA, FL, 34232 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000088225 | SUNCOAST FUNCTIONAL HEALTH CENTER | EXPIRED | 2012-09-07 | 2017-12-31 | No data | 3667 BAHIA VISTA ST. STE.A, SARASOTA, FL, 34232 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
