| Entity Name: | WEST FAMILY CHIROPRACTIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Feb 2002 (23 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 04 Apr 2002 (23 years ago) |
| Document Number: | P02000012380 |
| FEI/EIN Number | 010643315 |
| Address: | 2234 NW 40th Terr, Suite B, Gainesville, FL, 32605, US |
| Mail Address: | 2234 NW 40th Terr, Suite B, Gainesville, FL, 32605, US |
| ZIP code: | 32605 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649558743 | 2011-07-25 | 2011-07-25 | 5010 W NEWBERRY RD, SUITE D, GAINESVILLE, FL, 326075212, US | 5010 W NEWBERRY RD, SUITE D, GAINESVILLE, FL, 326075212, US | |||||||||||||||||||||||||
|
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| Phone | +1 352-332-1992 |
| Fax | 3523321993 |
Authorized person
| Name | DR. DAVID RYAN WEST |
| Role | OWNER |
| Phone | 3523321992 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8280 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS PROVIDER NUMBER |
| Number | 70227 |
| State | FL |
| Name | Role |
|---|---|
| SPIEGEL & UTRERA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| WEST DAVID R | President | 5010 W. NEWBERRY RD., SUITE D, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| WEST DAVID R | Secretary | 5010 W. NEWBERRY RD., SUITE D, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| WEST DAVID R | Treasurer | 5010 W. NEWBERRY RD., SUITE D, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| WEST DAVID R | Director | 5010 W. NEWBERRY RD., SUITE D, GAINESVILLE, FL, 32607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-06 | 2234 NW 40th Terr, Suite B, Gainesville, FL 32605 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-06 | 2234 NW 40th Terr, Suite B, Gainesville, FL 32605 | No data |
| NAME CHANGE AMENDMENT | 2002-04-04 | WEST FAMILY CHIROPRACTIC, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-02-07 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-29 |
| ANNUAL REPORT | 2015-01-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
