| Entity Name: | KEMP CHIROPRACTIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Jan 2004 (21 years ago) |
| Document Number: | P04000008241 |
| FEI/EIN Number | 200632290 |
| Address: | 4169 UNIVERSITY BOULEVARD SOUTH, JACKSONVILLE, FL, 32216 |
| Mail Address: | 4169 UNIVERSITY BOULEVARD SOUTH, JACKSONVILLE, FL, 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1164573754 | 2007-01-12 | 2009-02-02 | 4169 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164316, US | 4169 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164316, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-737-2350 |
| Fax | 9047377111 |
Authorized person
| Name | DR. DAVID E. KEMP |
| Role | PRESIDENT |
| Phone | 9047372350 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH00001534 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH00007780 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 111NN0400X - Neurology Chiropractor |
| License Number | CH00007780 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | GROUP#BLUE CROSS BLSHIELD |
| Number | 72157 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | POO293084 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD(F) |
| Number | 89282 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD(D) |
| Number | 89940 |
| State | FL |
| Issuer | RAILROAD MEDICARE GROUP# |
| Number | DE4435 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KEMP MARY E | Agent | 7920 BELLEMEADE BLVD SOUTH, JACKSONVILLE, FL, 32211 |
| Name | Role | Address |
|---|---|---|
| KEMP DAVID E | President | 4169 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| KEMP DAVID E | Vice President | 4169 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| KEMP MARY E | Treasurer | 4169 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| KEMP FRANK H | Secretary | 4169 UNIVERSITY BLVD SOUTH, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2012-04-23 | KEMP, MARY E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-23 | 7920 BELLEMEADE BLVD SOUTH, JACKSONVILLE, FL 32211 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-04-07 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-02-21 |
| ANNUAL REPORT | 2017-03-06 |
| ANNUAL REPORT | 2016-04-09 |
| ANNUAL REPORT | 2015-04-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
