| Entity Name: | VICKERS CHIROPRACTIC HEALTH CENTERS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 04 Jan 2002 (23 years ago) |
| Date of dissolution: | 19 Mar 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Mar 2015 (10 years ago) |
| Document Number: | P02000001922 |
| FEI/EIN Number | 30-0027374 |
| Address: | 1116 BILLY MARTIN RD, AVON PARK, FL 33825 |
| Mail Address: | PO BOX 150, AVON PARK, FL 33826 |
| ZIP code: | 33825 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467489245 | 2006-06-27 | 2010-09-01 | PO BOX 150, AVON PARK, FL, 338260150, US | 1116 BILLY MARTIN RD, AVON PARK, FL, 338254858, US | |||||||||||||||||||||||||
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| Phone | +1 863-453-0684 |
| Fax | 8634532873 |
Authorized person
| Name | DR. EDWARD DEE VICKERS JR. |
| Role | PRESIDENT |
| Phone | 8634530684 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Taxonomy Code | 225700000X - Massage Therapist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 380135700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VICKERS, PAMELA L | Agent | 1116 BILLY MARTIN RD, AVON PARK, FL 33825 |
| Name | Role | Address |
|---|---|---|
| VICKERS, EDWARD D | President | 1116 BILLY MARTIN RD, AVON PARK, FL 33825 |
| Name | Role | Address |
|---|---|---|
| VICKERS, EDWARD D | Director | 1116 BILLY MARTIN RD, AVON PARK, FL 33825 |
| VICKERS, PAMELA L | Director | 1116 BILLY MARTIN RD, AVON PARK, FL 33825 |
| Name | Role | Address |
|---|---|---|
| VICKERS, EDWARD D | Treasurer | 1116 BILLY MARTIN RD, AVON PARK, FL 33825 |
| Name | Role | Address |
|---|---|---|
| VICKERS, PAMELA L | Secretary | 1116 BILLY MARTIN RD, AVON PARK, FL 33825 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-03-19 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-10 | 1116 BILLY MARTIN RD, AVON PARK, FL 33825 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-10 | VICKERS, PAMELA L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-10 | 1116 BILLY MARTIN RD, AVON PARK, FL 33825 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-02-20 | 1116 BILLY MARTIN RD, AVON PARK, FL 33825 | No data |
| AMENDMENT AND NAME CHANGE | 2002-05-20 | VICKERS CHIROPRACTIC HEALTH CENTERS, PA | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-03-19 |
| ANNUAL REPORT | 2014-03-14 |
| ANNUAL REPORT | 2013-04-10 |
| ANNUAL REPORT | 2012-06-28 |
| ANNUAL REPORT | 2011-03-10 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-26 |
| ANNUAL REPORT | 2008-03-05 |
| ANNUAL REPORT | 2007-01-17 |
| ANNUAL REPORT | 2006-02-20 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
