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LANE FAMILY CHIROPRACTIC, INC.

Company Details

Entity Name: LANE FAMILY CHIROPRACTIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Aug 2004 (20 years ago)
Document Number: P04000123063
FEI/EIN Number 043792486
Address: 1323 W. FLETCHER AVE., TAMPA, FL, 33612, US
Mail Address: 1323 W. FLETCHER AVE., TAMPA, FL, 33612, US
ZIP code: 33612
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356519425 2008-02-12 2008-02-12 1307 W FLETCHER AVE, TAMPA, FL, 336123310, US 1307 W FLETCHER AVE, TAMPA, FL, 336123310, US

Contacts

Phone +1 813-968-4293

Authorized person

Name DR. THOMAS MICHAEL LANE
Role CHIROPRACTIC PHYSICIAN
Phone 8139684293

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number FL 0008563
State FL
Is Primary Yes

Agent

Name Role Address
LANE THOMAS M Agent 19710 Wellington Manor Blvd., Lutz, FL, 33549

President

Name Role Address
LANE THOMAS M President 19710 Wellington Manor Blvd., Lutz, FL, 33549

Vice President

Name Role Address
LANE KELLIE D Vice President 19710 Wellington Manor Blvd., Lutz, FL, 33549

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000011099 LANE FAMILY WELLNESS ACTIVE 2024-01-19 2029-12-31 No data 1323 W. FLETCHER AVE., TAMPA, FL, 33612

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-01-16 1323 W. FLETCHER AVE., Suite A, TAMPA, FL 33612 No data
CHANGE OF MAILING ADDRESS 2018-01-16 1323 W. FLETCHER AVE., Suite A, TAMPA, FL 33612 No data
REGISTERED AGENT ADDRESS CHANGED 2013-01-30 19710 Wellington Manor Blvd., Lutz, FL 33549 No data

Documents

Name Date
ANNUAL REPORT 2024-03-08
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-08
ANNUAL REPORT 2016-01-15
ANNUAL REPORT 2015-02-06

Date of last update: 01 Feb 2025

Sources: Florida Department of State