| Entity Name: | SPRINGER CHIROPRACTIC CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Nov 2003 (21 years ago) |
| Last Event: | REVOCATION OF VOLUNTARY DISSOLUT |
| Event Date Filed: | 30 Aug 2011 (13 years ago) |
| Document Number: | P03000137670 |
| FEI/EIN Number | 331075207 |
| Address: | 4511 N. Armenia, Tampa, FL, 33603, US |
| Mail Address: | 4703 N Eddy Dr, Tampa, FL, 33603, US |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013161793 | 2008-11-08 | 2019-07-25 | 100 OAKMONT LN APT 103, BELLEAIR, FL, 337561956, US | 100 OAKMONT LN APT 103, BELLEAIR, FL, 33756, US | |||||||||||||||||||||||||||
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| Phone | +1 727-460-2853 |
Authorized person
| Name | DR. DEBORAH E SPRINGER |
| Role | PRESIDENT |
| Phone | 7274602853 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH 8666 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000596000 |
| State | FL |
| Issuer | NPI |
| Number | 1548477391 |
| Name | Role | Address |
|---|---|---|
| SPRINGER DEBORAH EDr. | Agent | 4511 N. Armenia, Tampa, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| SPRINGER DEBORAH E | President | 4703 N Eddy Dr, Tampa, FL, 33603 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08211900120 | PAIN CLINIC OF BOGGY CREEK | EXPIRED | 2008-07-28 | 2013-12-31 | No data | 1090 PLAZA DR., KISSIMMEE, FL, 34743 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-01-30 | 4511 N. Armenia, Tampa, FL 33603 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-11 | 4511 N. Armenia, Tampa, FL 33603 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-11 | 4511 N. Armenia, Tampa, FL 33603 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-19 | SPRINGER, DEBORAH ELLEN, Dr. | No data |
| REVOCATION OF VOLUNTARY DISSOLUT | 2011-08-30 | No data | No data |
| VOLUNTARY DISS W/ NOTICE | 2011-06-02 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-02-29 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-01-26 |
| ANNUAL REPORT | 2017-05-05 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-02-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
