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FERNANDINA CHIROPRACTIC CENTER, INC.

Company Details

Entity Name: FERNANDINA CHIROPRACTIC CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 31 Dec 2001 (23 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: P02000000008
FEI/EIN Number 753011964
Address: 464073 SR 200, SUITE 4, YULEE, FL, 32097
Mail Address: 464073 SR 200, SUITE 4, YULEE, FL, 32097
ZIP code: 32097
County: Nassau
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104121011 2011-01-24 2011-05-13 464073 STATE ROAD 200, SUITE 4, YULEE, FL, 320976307, US 464073 STATE ROAD 200, SUITE 4, YULEE, FL, 320976307, US

Contacts

Phone +1 904-491-1345
Fax 9044911346

Authorized person

Name DR. BRUCE STEVEN GLICKMAN
Role OWNER
Phone 9044911345

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH-3341
State FL
Is Primary Yes

Agent

Name Role Address
GLICKMAN BRUCE S Agent 32423 Grand Parke Blvd, Fernandina Beach, FL, 32034

Director

Name Role Address
GLICKMAN BRUCE S Director 32423 Grand Parke Blvd, Fernandina Beach, FL, 32034

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
REINSTATEMENT 2017-01-13 No data No data
REGISTERED AGENT NAME CHANGED 2017-01-13 GLICKMAN, BRUCE SDC No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REGISTERED AGENT ADDRESS CHANGED 2015-02-25 32423 Grand Parke Blvd, Fernandina Beach, FL 32034 No data
CHANGE OF MAILING ADDRESS 2012-01-05 464073 SR 200, SUITE 4, YULEE, FL 32097 No data
CHANGE OF PRINCIPAL ADDRESS 2011-02-02 464073 SR 200, SUITE 4, YULEE, FL 32097 No data

Documents

Name Date
REINSTATEMENT 2017-01-13
ANNUAL REPORT 2015-02-25
ANNUAL REPORT 2014-01-10
ANNUAL REPORT 2013-02-12
ANNUAL REPORT 2012-01-05
ANNUAL REPORT 2011-02-02
ANNUAL REPORT 2010-02-22
ANNUAL REPORT 2009-04-03
ANNUAL REPORT 2008-04-09
ANNUAL REPORT 2007-09-13

Date of last update: 02 Feb 2025

Sources: Florida Department of State