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CLARK CHIROPRACTIC HEALTH CENTER, INC.

Company Details

Entity Name: CLARK CHIROPRACTIC HEALTH CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 28 May 2004 (21 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 03 Jan 2023 (2 years ago)
Document Number: P04000085063
FEI/EIN Number 870727469
Address: 3530 1st ave n #103, ST. PETERSBURG, FL, 33713, US
Mail Address: 841 15th ave n, ST. PETERSBURG, FL, 33704, US
ZIP code: 33713
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467516856 2006-12-20 2010-08-18 2909 4TH ST N, ST PETERSBURG, FL, 337042103, US 2909 4TH ST N, ST PETERSBURG, FL, 337042103, US

Contacts

Phone +1 727-528-2808
Fax 7278248855

Authorized person

Name DR. THOMAS G CLARK
Role PRESIDENT OWNER
Phone 7275282808

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH0003633
State FL
Is Primary Yes

Agent

Name Role Address
CLARK THOMAS G Agent 841 15th Ave N, St. Petersburg, FL, 33704

President

Name Role Address
Clark Thomas G President 841 15th Ave N, St. Petersburg, FL, 33704

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-01-03 No data No data
REGISTERED AGENT NAME CHANGED 2023-01-03 CLARK, THOMAS G No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-03 841 15th Ave N, St. Petersburg, FL 33704 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-10-19 3530 1st ave n #103, ST. PETERSBURG, FL 33713 No data
CHANGE OF MAILING ADDRESS 2021-10-19 3530 1st ave n #103, ST. PETERSBURG, FL 33713 No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
REINSTATEMENT 2023-01-03
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-28
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-09-14
ANNUAL REPORT 2014-04-23

Date of last update: 01 Feb 2025

Sources: Florida Department of State