| Entity Name: | STUART S. SHIPE, D.O.M., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Mar 2002 (23 years ago) |
| Document Number: | P02000023346 |
| FEI/EIN Number | 900008272 |
| Address: | 1605 NW Federal Hwy, Stuart, FL, 34994, US |
| Mail Address: | 1605 NW Federal Hwy, Stuart, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033397302 | 2008-02-08 | 2008-02-08 | 1801 SE HILLMOOR DR, SUITE A104, PORT ST LUCIE, FL, 349527553, US | 1801 SE HILLMOOR DR, SUITE A104, PORT ST LUCIE, FL, 349527553, US | |||||||||||||||||||||||||||
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| Phone | +1 772-398-4550 |
| Fax | 7723984552 |
Authorized person
| Name | STUART S SHIPE |
| Role | ACUPUNCTURE PHYSICIAN |
| Phone | 7723984550 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP1627 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | PS22540 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SHIPE STUART SDr. | Agent | 1605 NW Federal Hwy, Stuart, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| SHIPE STUART SDr. | President | 1605 NW Federal Hwy, Stuart, FL, 34994 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000149702 | TRADITIONAL CHINESE HEALING | ACTIVE | 2024-12-10 | 2029-12-31 | No data | PO BOX 54, JENSEN BEACH, FL, 34958 |
| G17000048990 | TRADITIONAL CHINESE HEALING | EXPIRED | 2017-05-04 | 2022-12-31 | No data | 1605 NW FEDERAL HWY #5, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-12 | 1541 SE Port St Lucie Blvd., Suite G, Port St Lucie, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-12 | 1541 SE Port St Lucie Blvd., Suite G, Port St Lucie, FL 34952 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-12 | 1541 SE Port St Lucie Blvd., Suite G, Port St Lucie, FL 34952 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-01-19 | SHIPE, STUART S, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-12 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-14 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-03-02 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-29 |
| ANNUAL REPORT | 2016-02-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
