| Entity Name: | PATRICK REED DC PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Jan 2002 (23 years ago) |
| Document Number: | P02000007691 |
| FEI/EIN Number | 431948838 |
| Address: | 4601 E. Moody Blvd., Bunnell, FL, 32110, US |
| Mail Address: | PO BOX 1214, BUNNELL, FL, 32110 |
| ZIP code: | 32110 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104181007 | 2012-07-07 | 2012-07-07 | PO BOX 1214, BUNNELL, FL, 321101214, US | 4601 E MOODY BLVD, G4, BUNNELL, FL, 321109017, US | |||||||||||||||||||||||||
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| Phone | +1 386-437-9990 |
| Fax | 3864379990 |
Authorized person
| Name | DR. PATRICK REED GERALD |
| Role | OWNER |
| Phone | 3864379990 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8254 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381469600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REED PATRICK D | Agent | 5 WHITEHALL COURT, FLAGLER BEACH, FL, 32136 |
| Name | Role | Address |
|---|---|---|
| REED PATRICK D | President | PO BOX 1214, BUNNELL, FL, 32110 |
| Name | Role | Address |
|---|---|---|
| REED DEBORAH | Vice President | PO BOX 1214, BUNNELL, FL, 32110 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-25 | 4601 E. Moody Blvd., Suite G4, Bunnell, FL 32110 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-16 | 5 WHITEHALL COURT, FLAGLER BEACH, FL 32136 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-14 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-01-17 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
