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CHIROPRACTIC JACKSONVILLE, INC.

Company Details

Entity Name: CHIROPRACTIC JACKSONVILLE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 May 2004 (21 years ago)
Date of dissolution: 15 Sep 2006 (18 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 15 Sep 2006 (18 years ago)
Document Number: P04000071960
FEI/EIN Number 201073274
Address: 4111 ATLANTIC BLVD, JACKSONVILLE, FL, 32207, US
Mail Address: 4111 ATLANTIC BLVD, JACKSONVILLE, FL, 32207, US
ZIP code: 32207
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154392785 2006-01-31 2020-08-22 4111 ATLANTIC BLVD, JACKSONVILLE, FL, 322072038, US 4111 ATLANTIC BLVD, JACKSONVILLE, FL, 322072038, US

Contacts

Phone +1 904-398-7662
Fax 9043981785

Authorized person

Name DR. TINA MARIE WARREN
Role OWNER/PRESIDENT
Phone 9043987662

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH7593
State FL
Is Primary Yes

Agent

Name Role Address
WARREN TINA M Agent 7547 GINGER TEA TRAIL W, JACKSONVILLE, FL, 32244

President

Name Role Address
WARREN TINA M President 7547 GINGER TEA TRAIL W, JACKSONVILLE, FL, 32244

Vice President

Name Role Address
WARREN TINA M Vice President 7547 GINGER TEA TRAIL W, JACKSONVILLE, FL, 32244

Secretary

Name Role Address
WARREN TINA M Secretary 7547 GINGER TEA TRAIL W, JACKSONVILLE, FL, 32244

Treasurer

Name Role Address
WARREN TINA M Treasurer 7547 GINGER TEA TRAIL W, JACKSONVILLE, FL, 32244

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data
REGISTERED AGENT ADDRESS CHANGED 2005-04-29 7547 GINGER TEA TRAIL W, JACKSONVILLE, FL 32244 No data

Documents

Name Date
ANNUAL REPORT 2005-04-29
Domestic Profit 2004-05-03

Date of last update: 01 Feb 2025

Sources: Florida Department of State