| Entity Name: | RADICE FAMILY CHIROPRACTIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Aug 2003 (21 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 22 Jan 2020 (5 years ago) |
| Document Number: | P03000084694 |
| FEI/EIN Number | 010793574 |
| Address: | 18520 N. DALE MABRY HWY., LUTZ, FL, 33548, US |
| Mail Address: | 18520 N. DALE MABRY HWY., LUTZ, FL, 33548, US |
| ZIP code: | 33548 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205068202 | 2009-08-10 | 2022-01-24 | 18520 N DALE MABRY HWY, LUTZ, FL, 335487900, US | 18520 N DALE MABRY HWY, LUTZ, FL, 335487900, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 813-968-9411 |
| Fax | 8139632407 |
Authorized person
| Name | DR. MICHAEL FRANK RADICE |
| Role | OWNER/CHIROPRACTOR |
| Phone | 8139689411 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8619 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381716400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RADICE MICHAEL F | Agent | 18520 N. DALE MABRY HWY., LUTZ, FL, 33548 |
| Name | Role | Address |
|---|---|---|
| RADICE MICHAEL F | Director | 18520 N. DALE MABRY HWY., LUTZ, FL, 33548 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-14 | 18520 N. DALE MABRY HWY., LUTZ, FL 33548 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-14 | 18520 N. DALE MABRY HWY., LUTZ, FL 33548 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-14 | 18520 N. DALE MABRY HWY., LUTZ, FL 33548 | No data |
| REINSTATEMENT | 2020-01-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-22 | RADICE, MICHAEL F | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2013-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-01-12 |
| REINSTATEMENT | 2020-01-22 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-02-01 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-03-20 |
| ANNUAL REPORT | 2014-02-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
