| Entity Name: | JAMIE GOODMAN D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Apr 2002 (23 years ago) |
| Document Number: | P02000043895 |
| FEI/EIN Number | 510448423 |
| Address: | 2206 Curlew Road, Palm Harbor, FL, 34683, US |
| Mail Address: | 2206 Curlew Road, Palm Harbor, FL, 34683, US |
| ZIP code: | 34683 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871865295 | 2012-02-01 | 2012-02-02 | 2323 CURLEW RD, SUITE 6C, DUNEDIN, FL, 346989330, US | 2323 CURLEW RD, SUITE 6C, DUNEDIN, FL, 346989330, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 727-772-7788 |
Authorized person
| Name | JAMIE ALAN GOODMAN |
| Role | CHIROPRACTOR |
| Phone | 7277727788 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7832 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381863200 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 70157 |
| State | FL |
| Issuer | CIGNA |
| Number | 1507451 |
| State | FL |
| Issuer | AETNA |
| Number | 7551499 |
| State | FL |
| Issuer | UNITED HEALTH CARE |
| Number | 619732 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GOODMAN Roy S | Agent | 2206 Curlew Road, Palm Harbor, FL, 34683 |
| Name | Role | Address |
|---|---|---|
| GOODMAN JAMIE A | President | 2206 Curlew Road, Palm Harbor, FL, 34683 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000014494 | GOODMAN CHIROPRACTIC | ACTIVE | 2014-02-11 | 2029-12-31 | No data | 2206 CURLEW ROAD, PALM HARBOR, FL, 34683 |
| G09000184324 | SPINE AND WELLNESS CENTER | EXPIRED | 2009-12-14 | 2014-12-31 | No data | 2323 CURLEW ROAD 6C, DUNEDIN, FL, 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-02-22 | GOODMAN, Roy S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-23 | 2206 Curlew Road, Palm Harbor, FL 34683 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-21 | 2206 Curlew Road, Palm Harbor, FL 34683 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-21 | 2206 Curlew Road, Palm Harbor, FL 34683 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-14 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
