Entity Name: | ADAM D. ZUCKERMAN, D.C., P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 13 Jan 2004 (21 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 14 Nov 2006 (18 years ago) |
Document Number: | P04000010528 |
FEI/EIN Number | 02-0714331 |
Address: | 6298 Linton Blvd Suite 100, Delray Beach, FL 33484 |
Mail Address: | 6298 Linton Blvd Suite 100, Delray Beach, FL 33484 |
ZIP code: | 33484 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1467676635 | 2007-04-12 | 2020-08-22 | 4895 WINDWARD PASSAGE DR, SUITE 9, BOYNTON BEACH, FL, 334367741, US | 4895 WINDWARD PASSAGE DR, SUITE 9, BOYNTON BEACH, FL, 334367741, US | |||||||||||||||||||
|
Phone | +1 561-752-4646 |
Fax | 5617377664 |
Authorized person
Name | DR. ADAM DAVID ZUCKERMAN |
Role | CHIROPRACTOR |
Phone | 5617524646 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | CH8746 |
State | FL |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CHRONIC CONDITIONS CENTER 401(K) PLAN | 2020 | 020714331 | 2022-02-03 | ADAM D. ZUCKERMAN, D.C., P.A. | 6 | |||||||||||||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2022-02-03 |
Name of individual signing | ADAM ZUCKERMAN |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2022-02-03 |
Name of individual signing | ADAM ZUCKERMAN |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2017-01-01 |
Business code | 621310 |
Sponsor’s telephone number | 5617524646 |
Plan sponsor’s address | 8280 JOG ROAD, BOYNTON BEACH, FL, 33472 |
Signature of
Role | Plan administrator |
Date | 2020-08-27 |
Name of individual signing | ADAM ZUCKERMAN |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2017-01-01 |
Business code | 621310 |
Sponsor’s telephone number | 5617524646 |
Plan sponsor’s address | 8280 JOG ROAD, BOYNTON BEACH, FL, 33472 |
Signature of
Role | Plan administrator |
Date | 2019-07-23 |
Name of individual signing | RICHARD GRUND |
Valid signature | Filed with authorized/valid electronic signature |
Role | Employer/plan sponsor |
Date | 2019-07-23 |
Name of individual signing | ADAM ZUCKERMAN |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2017-01-01 |
Business code | 325410 |
Sponsor’s telephone number | 5617524646 |
Plan sponsor’s address | 8280 JOG ROAD, BOYNTON BEACH, FL, 33472 |
Signature of
Role | Plan administrator |
Date | 2018-10-05 |
Name of individual signing | ADAM ZUCKERMAN |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
KOPELOWITZ, BRIAN | Agent | 350 EAST LAS OLAS BLVD., 1440, FORT LAUDERDALE, FL 33301 |
Name | Role | Address |
---|---|---|
ZUCKERMAN, ADAM | President | 6298 Linton Blvd Suite 100, Delray Beach, FL 33484 |
Name | Role | Address |
---|---|---|
ZUCKERMAN, ADAM | Director | 6298 Linton Blvd Suite 100, Delray Beach, FL 33484 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G16000001648 | CHRONIC CONDITIONS CENTER | EXPIRED | 2016-01-05 | 2021-12-31 | No data | 8280 S JOG ROAD, BOYNTON BEACH, FL, 33472 |
G16000001643 | ZUCKERMAN FAMILY WELLNESS CENTER | EXPIRED | 2016-01-05 | 2021-12-31 | No data | 8280 S JOG ROAD, BOYNTON BEACH, FL, 33472 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-03-30 | 6298 Linton Blvd Suite 100, Delray Beach, FL 33484 | No data |
CHANGE OF MAILING ADDRESS | 2022-03-30 | 6298 Linton Blvd Suite 100, Delray Beach, FL 33484 | No data |
AMENDMENT | 2006-11-14 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-04 |
ANNUAL REPORT | 2023-02-07 |
ANNUAL REPORT | 2022-03-30 |
ANNUAL REPORT | 2021-01-27 |
ANNUAL REPORT | 2020-07-18 |
ANNUAL REPORT | 2019-03-17 |
ANNUAL REPORT | 2018-03-06 |
ANNUAL REPORT | 2017-03-15 |
ANNUAL REPORT | 2016-04-15 |
ANNUAL REPORT | 2015-02-10 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State