| Entity Name: | ACUPUNCTURE & HOLISTIC HEALTH CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 May 2004 (21 years ago) |
| Document Number: | P04000072237 |
| FEI/EIN Number | 201145863 |
| Address: | 4540 Southside Blvd, Suite 302, Jacksonville, FL, 32216, US |
| Mail Address: | 4540 Southside Blvd, Suite 302, Jacksonville, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356682793 | 2013-03-11 | 2024-07-17 | 4540 SOUTHSIDE BLVD STE 302, JACKSONVILLE, FL, 322165488, US | 4540 SOUTHSIDE BLVD STE 302, JACKSONVILLE, FL, 322165488, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 904-296-9545 |
| Fax | 9042969547 |
Authorized person
| Name | MR. MICHAEL KOWALSKI |
| Role | PRESIDENT |
| Phone | 9042969545 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP 208 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | Yes |
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME113529 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225700000X - Massage Therapist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1346488756 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KOWALSKI MICHAEL | Agent | 4540 Southside Blvd, Jacksonville, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| KOWALSKI MICHAEL | President | 4540 Southside Blvd, Jacksonville, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| KOWALSKI MICHAEL | Director | 4540 Southside Blvd, Jacksonville, FL, 32216 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000077249 | 5 ELEMENT INSTITUTE | EXPIRED | 2010-08-23 | 2015-12-31 | No data | 4237 SALISBURY ROAD, SUITE 107, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-09 | 4540 Southside Blvd, Suite 302, Jacksonville, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-09 | 4540 Southside Blvd, Suite 302, Jacksonville, FL 32216 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-09 | 4540 Southside Blvd, Suite 302, Jacksonville, FL 32216 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-04-09 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-01 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
