| Entity Name: | DR. BRADLEY H. YOUNG, D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
DR. BRADLEY H. YOUNG, D.C., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 17 May 2002 (23 years ago) |
| Document Number: | P02000055470 |
| FEI/EIN Number |
030454846
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1270 N Eglin Pkwy, Suite C-11, Shalimar, FL, 32579, US |
| Mail Address: | 1270 N Eglin Pkwy, Suite C-11, Shalimar, FL, 32579, US |
| ZIP code: | 32579 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972761757 | 2008-05-28 | 2014-06-23 | 6 11TH AVENUE, SUITE H-3, SHALIMAR, FL, 32579, US | 6 11TH AVENUE, SUITE H-3, SHALIMAR, FL, 32579, US | |||||||||||||||||||||||||||||
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| Phone | +1 850-613-2044 |
| Fax | 8506136593 |
Authorized person
| Name | DR. BRADLEY H YOUNG |
| Role | PRESIDENT |
| Phone | 8506132044 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8376 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381515300 |
| State | FL |
| Issuer | INDIVIDUAL NPI |
| Number | 1366538035 |
| Name | Role | Address |
|---|---|---|
| YOUNG BRADLEY HDC, PA | President | 1270 N Eglin Pkwy, Shalimar, FL, 32579 |
| YOUNG BRADLEY HDC, PA | Secretary | 1270 N Eglin Pkwy, Shalimar, FL, 32579 |
| YOUNG BRADLEY HDC, PA | Treasurer | 1270 N Eglin Pkwy, Shalimar, FL, 32579 |
| young bradley HDC, PA | Agent | 1270 N Eglin Pkwy, Shalimar, FL, 32579 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000080646 | COASTAL CHIROPRACTIC | ACTIVE | 2015-08-04 | 2025-12-31 | - | 1270 N EGLIN PARKWAY, SUITE C11, SHALIMAR, FL, 32579 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-03 | 1270 N Eglin Pkwy, Suite C-11, Shalimar, FL 32579 | - |
| CHANGE OF MAILING ADDRESS | 2020-02-03 | 1270 N Eglin Pkwy, Suite C-11, Shalimar, FL 32579 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-03 | 1270 N Eglin Pkwy, Suite C-11, Shalimar, FL 32579 | - |
| REGISTERED AGENT NAME CHANGED | 2019-02-21 | young, bradley HAMILTON, DC, PA | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-02-03 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-06 |
Date of last update: 01 May 2025
Sources: Florida Department of State
