Entity Name: | ALLIANCE HEALTH & INJURY CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 08 Jan 2004 (21 years ago) |
Document Number: | P04000007268 |
FEI/EIN Number | 20-0672010 |
Mail Address: | 7809 W. COMMERCIAL BLVD, TAMARAC, FL 33351 |
Address: | 7809 W. Commercial Blvd, Tamarac, FL 33351 |
ZIP code: | 33351 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1982891412 | 2007-09-28 | 2013-05-24 | 7565 W OAKLAND PARK BLVD, LAUDERHILL, FL, 333194909, US | 7565 W OAKLAND PARK BLVD, LAUDERHILL, FL, 333194909, US | |||||||||||||||||||||||||||||||||||||
|
Phone | +1 954-741-2622 |
Fax | 9543808494 |
Authorized person
Name | DR. STEPHEN RAMBO BROOKS JR. |
Role | PRESIDENT |
Phone | 9547412622 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | CH 8192 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BC/BS |
Number | 88007 |
State | FL |
Issuer | UPIN |
Number | U99914 |
State | FL |
Issuer | NPI |
Number | 1639232432 |
State | FL |
Name | Role | Address |
---|---|---|
BROOKS, JR, STEPHEN R | Agent | 7809 W. Commercial Blvd, Tamarac, FL 33351 |
Name | Role | Address |
---|---|---|
BROOKS, JR, STEPHEN R | President | 7809 W. Commercial Blvd, Tamarac, FL 33351 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2016-05-09 | 7809 W. Commercial Blvd, Tamarac, FL 33351 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2016-05-09 | 7809 W. Commercial Blvd, Tamarac, FL 33351 | No data |
CHANGE OF MAILING ADDRESS | 2015-10-12 | 7809 W. Commercial Blvd, Tamarac, FL 33351 | No data |
REGISTERED AGENT NAME CHANGED | 2015-04-22 | BROOKS, JR, STEPHEN R | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-08 |
ANNUAL REPORT | 2023-03-02 |
ANNUAL REPORT | 2022-03-06 |
ANNUAL REPORT | 2021-02-01 |
ANNUAL REPORT | 2020-04-20 |
ANNUAL REPORT | 2019-03-06 |
ANNUAL REPORT | 2018-02-09 |
ANNUAL REPORT | 2017-03-08 |
ANNUAL REPORT | 2016-05-09 |
ANNUAL REPORT | 2015-04-22 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State