| Entity Name: | VANESSA KOUTALIDIS D.C.AND KATHLEEN SCHKLAIR D.C,P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Dec 2003 (21 years ago) |
| Document Number: | P03000149048 |
| FEI/EIN Number | 542140559 |
| Address: | 1749 N.E. 26 STREET, SUITE F, FORT LAUDERDALE, FL, 33305 |
| Mail Address: | 1749 N.E. 26 STREET, SUITE F, FORT LAUDERDALE, FL, 33305 |
| ZIP code: | 33305 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851578587 | 2008-01-24 | 2013-11-01 | 1749 NE 26TH ST, SUITE F, WILTON MANORS, FL, 333051428, US | 1749 NE 26TH ST, SUITE F, WILTON MANORS, FL, 333051428, US | |||||||||||||||||||||||||
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| Phone | +1 954-566-1349 |
| Fax | 9545661385 |
Authorized person
| Name | KATHLEEN M SCHKLAIR |
| Role | CHIROPRACTOR |
| Phone | 9545661349 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7796 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1922181833 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KOUTALIDIS VANESSA L | Agent | 1749 N.E. 26 STREET, FORT LAUDERDALE, FL, 33305 |
| Name | Role | Address |
|---|---|---|
| KOUTALIDIS VANESSA L | President | 1749 N.E. 26 STREET , SUITE F, FORT LAUDERDALE, FL, 33305 |
| Name | Role | Address |
|---|---|---|
| SCHKLAIR KATHLEEN M | Vice President | 1749 N.E. 26 STREET , SUITE F, FORT LAUDERDALE, FL, 33305 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-04-15 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-04 |
| ANNUAL REPORT | 2015-04-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2419777207 | 2020-04-16 | 0455 | PPP | 1749 NE 26TH ST STE F, WILTON MANORS, FL, 33305-1428 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
