| Entity Name: | BROOKS CHIROPRACTIC CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
BROOKS CHIROPRACTIC CLINIC, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 17 Dec 2004 (20 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | P04000169211 |
| FEI/EIN Number |
841665680
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5261 HWY 90, PACE, FL, 32571 |
| Mail Address: | 5261 HWY 90, PACE, FL, 32571 |
| ZIP code: | 32571 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477734242 | 2007-11-20 | 2007-11-27 | 5261 HIGHWAY 90, PACE, FL, 325711532, US | 5261 HIGHWAY 90, PACE, FL, 325711532, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-994-1147 |
| Fax | 8509941104 |
Authorized person
| Name | DR. MICHAEL C. BROOKS |
| Role | CHIROPRACTIC PHYSICIAN |
| Phone | 8509941147 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0003384 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 88558 |
| State | FL |
| Issuer | AETNA |
| Number | 4276754 |
| State | FL |
| Issuer | MEDICARE INDIVIDUAL |
| Number | 88558Z |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BROOKS MICHAEL C | Director | 5261 HWY 90, PACE, FL, 32571 |
| BROOKS MICHAEL C | President | 5261 HWY 90, PACE, FL, 32571 |
| LAWRENCE TERESA | Secretary | 4848 FRIENDLY ST, PACE, FL, 32571 |
| BROOKS MICHAEL C | Agent | 5261 HWY 90, PACE, FL, 32571 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| AMENDMENT | 2010-11-08 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-03-03 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-02-10 |
| ANNUAL REPORT | 2014-04-14 |
| ANNUAL REPORT | 2013-04-05 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7011437100 | 2020-04-14 | 0491 | PPP | 5261 HWY 90, Pace, FL, 32571 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7599268409 | 2021-02-12 | 0491 | PPS | 5261 U.S. 90 N/A, Milton, FL, 32571 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
