| Entity Name: | LAUDERDALE CHIROPRACTIC CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 May 2004 (21 years ago) |
| Document Number: | P04000085048 |
| FEI/EIN Number | 73-1709528 |
| Address: | 1140 SE THIRD AVE, FT LAUDERDALE, FL 33316 |
| Mail Address: | 1140 SE THIRD AVE, FT LAUDERDALE, FL 33316 |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033168182 | 2006-05-08 | 2013-09-13 | 1140 SE 3RD AVE, FT LAUDERDALE, FL, 333161110, US | 1140 SE 3RD AVE, FT LAUDERDALE, FL, 333161110, US | |||||||||||||||||||||
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| Phone | +1 954-764-8505 |
| Fax | 9544678723 |
Authorized person
| Name | RICK E BRUNS |
| Role | PRESIDENT |
| Phone | 9547648505 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 040763600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRUNS, RICK | Agent | 1140 SE THIRD AVE, FT LAUDERDALE, FL 33316 |
| Name | Role | Address |
|---|---|---|
| BRUNS, RICK | President | 1140 SE THIRD AVE, FT LAUDERDALE, FL 33316 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-01-08 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-02-02 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
