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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
CLARK THOMAS G | Agent | 841 15th Ave N, St. Petersburg, FL, 33704 |
Name | Role | Address |
---|---|---|
Clark Thomas G | President | 841 15th Ave N, St. Petersburg, FL, 33704 |
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 |
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