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KENNETH T. MACK, P.A.

Company Details

Entity Name: KENNETH T. MACK, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 17 Mar 2004 (21 years ago)
Date of dissolution: 24 Sep 2010 (14 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 24 Sep 2010 (14 years ago)
Document Number: P04000049950
FEI/EIN Number 050599460
Address: 1525 SOUTH ALAFAYA TRAIL, SUITE 105, ORLANDO, FL, 32828
Mail Address: 1525 SOUTH ALAFAYA TRAIL, SUITE 105, ORLANDO, FL, 32828
ZIP code: 32828
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780703397 2007-03-28 2008-06-26 1525 S ALAFAYA TRL, SUITE 105, ORLANDO, FL, 328288926, US 1525 S ALAFAYA TRL, SUITE 105, ORLANDO, FL, 328288926, US

Contacts

Phone +1 407-282-3223
Fax 4072823339

Authorized person

Name DR. KENNETH THOMAS MACK
Role DOCTOR
Phone 4072823223

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH8704
State FL
Is Primary Yes

Agent

Name Role Address
VOORDE VANDE Agent 1327 N CENTRAL AVE, SEBASTIAN, FL, 32958

Director

Name Role Address
MACK KENNETH T Director 1525 SOUTH ALAFAYATRAIL, ORLANDO, FL, 32828

President

Name Role Address
MACK KENNETH T President 1525 SOUTH ALAFAYATRAIL, ORLANDO, FL, 32828

Secretary

Name Role Address
MACK KENNETH T Secretary 1525 SOUTH ALAFAYATRAIL, ORLANDO, FL, 32828

Treasurer

Name Role Address
MACK KENNETH T Treasurer 1525 SOUTH ALAFAYATRAIL, ORLANDO, FL, 32828

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2005-02-27 1525 SOUTH ALAFAYA TRAIL, SUITE 105, ORLANDO, FL 32828 No data
CHANGE OF MAILING ADDRESS 2005-02-27 1525 SOUTH ALAFAYA TRAIL, SUITE 105, ORLANDO, FL 32828 No data

Documents

Name Date
ANNUAL REPORT 2009-04-30
ANNUAL REPORT 2008-04-30
ANNUAL REPORT 2007-04-23
ANNUAL REPORT 2006-04-30
ANNUAL REPORT 2005-02-27
Domestic Profit 2004-03-17

Date of last update: 01 Feb 2025

Sources: Florida Department of State