Entity Name: | SPRING HILL CHIROPRACTIC INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 27 Jul 2004 (21 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 02 Mar 2020 (5 years ago) |
Document Number: | P04000110077 |
FEI/EIN Number | 201392975 |
Address: | 14270 SPRING HILL DRIVE, SPRING HILL, FL, 34609, US |
Mail Address: | 14270 SPRING HILL DRIVE, SPRING HILL, FL, 34609, US |
ZIP code: | 34609 |
County: | Hernando |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1821256850 | 2008-05-27 | 2012-07-19 | 14270 SPRING HILL DR, SPRING HILL, FL, 346095259, US | 14270 SPRING HILL DR, SPRING HILL, FL, 346095259, US | |||||||||||||||||||||||||
|
Phone | +1 352-684-1484 |
Fax | 3526841420 |
Authorized person
Name | DR. DIANA JESSICA CRIVELLI |
Role | OWNER |
Phone | 3526841484 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | CH8199 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 382141200 |
State | FL |
Name | Role | Address |
---|---|---|
CRIVELLI D. JESSICA D | Agent | 499 Rio Vista Ct, Spring Hill, FL, 34608 |
Name | Role | Address |
---|---|---|
Crivelli Diana D | President | 499 Rio Vista Ct, Spring Hill, FL, 34608 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G12000044360 | ALIGN TOTAL WELLNESS | EXPIRED | 2012-05-11 | 2017-12-31 | No data | 14270 SPRING HILL DRIVE, SPRING HILL, FL, 34609 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2021-02-26 | 499 Rio Vista Ct, Spring Hill, FL 34608 | No data |
REINSTATEMENT | 2020-03-02 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2017-11-21 | CRIVELLI, D. JESSICA D.C. | No data |
REINSTATEMENT | 2017-11-21 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
CHANGE OF MAILING ADDRESS | 2013-04-25 | 14270 SPRING HILL DRIVE, SPRING HILL, FL 34609 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2013-04-25 | 14270 SPRING HILL DRIVE, SPRING HILL, FL 34609 | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J14000001643 | TERMINATED | 12-296-D3-OPA | LEON | 2013-11-19 | 2019-01-06 | $1,000.00 | DFS DIVISION OF WORKERS COMPENSATION, 200 EAST GAINES STREET, TALLAHASSEE, FL 32399-4228 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-07-15 |
ANNUAL REPORT | 2023-03-06 |
ANNUAL REPORT | 2022-02-02 |
ANNUAL REPORT | 2021-02-26 |
REINSTATEMENT | 2020-03-02 |
ANNUAL REPORT | 2018-02-14 |
REINSTATEMENT | 2017-11-21 |
ANNUAL REPORT | 2016-01-26 |
ANNUAL REPORT | 2015-03-31 |
ANNUAL REPORT | 2014-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State