| Entity Name: | RACINE CHIROPRACTIC CENTER, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Mar 2002 (23 years ago) |
| Document Number: | P02000023632 |
| FEI/EIN Number | 010643852 |
| Address: | 6916 ALOMA AVE, WINTER PARK, FL, 32792 |
| Mail Address: | 6916 ALOMA AVE, WINTER PARK, FL, 32792 |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215241344 | 2010-07-30 | 2016-01-21 | 6916 ALOMA AVE, WINTER PARK, FL, 327927003, US | 6916 ALOMA AVE, WINTER PARK, FL, 327927003, US | |||||||||||||||||||||||||||||||
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| Phone | +1 407-677-8881 |
| Fax | 4076770705 |
Authorized person
| Name | DR. STEVE RUSSELL RACINE |
| Role | OWNER |
| Phone | 4076778881 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8251 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 70848 |
| State | FL |
| Issuer | MEDICARE P-TAN |
| Number | E7299 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RACINE CHIROPRACTIC CENTER PA PROFIT SHARING PLAN | 2015 | 010643852 | 2016-02-26 | RACINE CHIROPRACTIC CENTER PA | 2 | |||||||||||||
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| RACINE CHIROPRACTIC CENTER PA PROFIT SHARING PLAN | 2014 | 010643852 | 2015-10-08 | RACINE CHIROPRACTIC CENTER PA | 3 | |||||||||||||
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| RACINE CHIROPRACTIC CENTER PA PROFIT SHARING PLAN | 2013 | 010643852 | 2014-10-11 | RACINE CHIROPRACTIC CENTER PA | 2 | |||||||||||||
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| Name | Role |
|---|---|
| AITA TAX & ACCOUNTING SERVICES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| RACINE STEVE R | Director | 6916 ALOMA AVE, WINTER PARK, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| RACINE STEVE R | President | 6916 ALOMA AVE, WINTER PARK, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| RACINE STEVE R | Secretary | 6916 ALOMA AVE, WINTER PARK, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| RACINE STEVE R | Treasurer | 6916 ALOMA AVE, WINTER PARK, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-02 | AITA TAX & ACCOUNTING SERVICES, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-13 | 801 International parkway, STE 500, Lake mary, FL 32746 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-04-21 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-01-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
