| Entity Name: | INLINE CHIROPRACTIC GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Nov 2002 (22 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 21 Feb 2003 (22 years ago) |
| Document Number: | P02000122392 |
| FEI/EIN Number | 593764031 |
| Address: | 2740 EAST OAKLAND PARK BLVD., SUITE 101, FT. LAUDERDALE, FL, 33306 |
| Mail Address: | 2740 EAST OAKLAND PARK BLVD., SUITE 101, FT. LAUDERDALE, FL, 33306, US |
| ZIP code: | 33306 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689695496 | 2006-07-21 | 2016-02-09 | 2740 E OAKLAND PARK BLVD, SUITE 101, FT LAUDERDALE, FL, 333061677, US | 2740 E OAKLAND PARK BLVD, SUITE 101, FT LAUDERDALE, FL, 333061677, US | |||||||||||||||||||||
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| Phone | +1 954-491-4437 |
| Fax | 9544914492 |
Authorized person
| Name | DR. EVAN JAY SLATKIN |
| Role | PRESIDENT |
| Phone | 9544914437 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD FL |
| Number | 88180 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SLATKIN EVAN J | Agent | 2740 EAST OAKLAND PARK BLVD., FT. LAUDERDALE, FL, 33306 |
| Name | Role | Address |
|---|---|---|
| SLATKIN EVAN J | Vice President | 2740 EAST OAKLAND PARK BLVD., FT. LAUDERDALE, FL, 33306 |
| Name | Role | Address |
|---|---|---|
| ROPER KEEGAN J | President | 2740 EAST OAKLAND PARK BLVD., FT. LAUDERDALE, FL, 33306 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000051685 | INLINE HEALTH & WELLNESS | ACTIVE | 2020-05-11 | 2025-12-31 | No data | 2740 EAST OAKLAND PARK BLVD., SUITE 101, FORT LAUDERDALE, FL, 33306 |
| G11000126588 | INLINE HEALTH & WELLNESS | EXPIRED | 2011-12-27 | 2016-12-31 | No data | P.O. BOX 670325, CORAL SPRINGS, FL, 33067 |
| G10000105983 | INLINE CHIROPRACTIC GROUP, INC. | EXPIRED | 2010-11-18 | 2015-12-31 | No data | P.O. BOX 670325, CORAL SPRINGS, FL, 33067 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2014-04-28 | 2740 EAST OAKLAND PARK BLVD., SUITE 101, FT. LAUDERDALE, FL 33306 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-29 | 2740 EAST OAKLAND PARK BLVD., SUITE 101, FT. LAUDERDALE, FL 33306 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-29 | 2740 EAST OAKLAND PARK BLVD., SUITE 101, FT. LAUDERDALE, FL 33306 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-04-25 | SLATKIN, EVAN J | No data |
| AMENDMENT | 2003-02-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
