| Entity Name: | MILLER CHIROPRACTIC AND MEDICAL CENTERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 04 Feb 2003 (22 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 21 Jan 2020 (5 years ago) |
| Document Number: | P03000016272 |
| FEI/EIN Number | 22-3893326 |
| Address: | 720 E. FLETCHER AVE, SUITE 110, TAMPA, FL 33612 |
| Mail Address: | 720 E. FLETCHER AVE, SUITE 110, TAMPA, FL 33612 |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922134691 | 2007-02-26 | 2020-08-22 | 720 E FLETCHER AVE, SUITE 110, TAMPA, FL, 336122616, US | 6509 CENTRAL AVE, SUITE B, ST PETERSBURG, FL, 337108412, US | |||||||||||||||||||||||||
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| Phone | +1 813-903-2383 |
| Phone | +1 727-345-4800 |
Authorized person
| Name | MRS. SHERRY A. MILLER |
| Role | VICE PRESIDENT |
| Phone | 8133762841 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC 6871 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | HCC 6871 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MILLER, CHRISTOPHER SMR. | Agent | 720 E. FLETCHER AVE, SUITE 110, TAMPA, FL 33612 |
| Name | Role | Address |
|---|---|---|
| MILLER, CHRISTOPHER S | President | 3509 DIAMOND FALLS CIRCLE, LAND O'LAKES, FL 34638 |
| Name | Role | Address |
|---|---|---|
| MILLER, CHRISTOPHER S | Director | 3509 DIAMOND FALLS CIRCLE, LAND O'LAKES, FL 34638 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000017280 | PREMIER MILLER ORTHOPEDIC CENTERS | ACTIVE | 2023-02-06 | 2028-12-31 | No data | 720 E FLETCHER AVE STE 110, TAMPA, FL, 33612 |
| G07278900048 | PREMIER MILLER AUTO INJURY TREATMENT CENTERS | ACTIVE | 2007-10-03 | 2027-12-31 | No data | 720 E. FLETCHER AVENUE, SUITE 110, TAMPA, FL, 33612 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2020-01-21 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-07 | 720 E. FLETCHER AVE, SUITE 110, TAMPA, FL 33612 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-01-07 | 720 E. FLETCHER AVE, SUITE 110, TAMPA, FL 33612 | No data |
| CHANGE OF MAILING ADDRESS | 2007-01-17 | 720 E. FLETCHER AVE, SUITE 110, TAMPA, FL 33612 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-03-01 | MILLER, CHRISTOPHER SMR. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-12 |
| Amendment | 2020-01-21 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-09 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
