| Entity Name: | PINE CASTLE CHIROPRACTIC CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Jun 2003 (22 years ago) |
| Document Number: | P03000072715 |
| FEI/EIN Number | 421599268 |
| Address: | 707 E OAK RIDGE RD, ORLANDO, FL, 32809 |
| Mail Address: | 707 E OAK RIDGE RD, ORLANDO, FL, 32809 |
| ZIP code: | 32809 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003081761 | 2008-04-24 | 2008-04-24 | 707 E OAK RIDGE RD., ORLANDO, FL, 328094204, US | 707 E OAK RIDGE RD., ORLANDO, FL, 328094204, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-855-7199 |
| Fax | 4078557237 |
Authorized person
| Name | MR. WILLIAM SIMON HOFFMEISTER II |
| Role | OWNER |
| Phone | 4078557199 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7807 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381326600 |
| State | FL |
| Issuer | CHIRO. ALLIANCE CORPORATION |
| Number | 593466707 |
| State | FL |
| Issuer | AMERIGROUP |
| Number | 118300 |
| State | FL |
| Issuer | AVMED |
| Number | 285910 |
| State | FL |
| Issuer | BCBS |
| Number | 55971 |
| State | FL |
| Issuer | WELLCARE |
| Number | 245138 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HOFFMEISTER WILLIAM S | Agent | 707 E. OAKRIDGE ROAD, ORLANDO, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| HOFFMEISTER WILLIAM SDr. | Manager | 707 E. OAKRIDGE ROAD, ORLANDO, FL, 32809 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-11 | 707 E. OAKRIDGE ROAD, ORLANDO, FL 32809 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-05-15 | 707 E OAK RIDGE RD, ORLANDO, FL 32809 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-02-03 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-11 |
| ANNUAL REPORT | 2015-01-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
