| Entity Name: | PRECISION CHIROPRACTIC ORLANDO, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Mar 2004 (21 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P04000040609 |
| FEI/EIN Number | 810644866 |
| Address: | 615 Herndon Avenue, Suite G, Orlando, FL, 32803, US |
| Mail Address: | 615 Herndon Avenue, Suite G, Orlando, FL, 32803, US |
| ZIP code: | 32803 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306830724 | 2005-08-31 | 2015-08-20 | 3837 E COLONIAL DR, ORLANDO, FL, 328035207, US | 3837 E COLONIAL DR, ORLANDO, FL, 328035207, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-228-9599 |
| Fax | 8662572827 |
Authorized person
| Name | DR. JOHN W STAUB |
| Role | PRESIDENT |
| Phone | 4072289599 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8270 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS / BLUE SHIELD |
| Number | 70221 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STAUB JOHN W | Agent | 2905 ANTIQUE OAKS CIRCLE, WINTER PARK, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| STAUB JOHN W | President | 2905 ANTIQUE OAKS CIRCLE, WINTER PARK, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-08 | 615 Herndon Avenue, Suite G, Orlando, FL 32803 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-08 | 615 Herndon Avenue, Suite G, Orlando, FL 32803 | No data |
| NAME CHANGE AMENDMENT | 2015-01-26 | PRECISION CHIROPRACTIC ORLANDO, INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-22 | 2905 ANTIQUE OAKS CIRCLE, 6, WINTER PARK, FL 32792 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-02-02 |
| Name Change | 2015-01-26 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-30 |
| ANNUAL REPORT | 2012-01-24 |
| ANNUAL REPORT | 2011-01-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
