| Entity Name: | JASON R. NITZSCHE, D.C., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jan 2005 (20 years ago) |
| Document Number: | P05000005368 |
| FEI/EIN Number | 202272961 |
| Address: | 711 N Orlando Ave., Maitland, FL, 32751, US |
| Mail Address: | 711 N Orlando Ave., Maitland, FL, 32751, US |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053598425 | 2008-01-28 | 2008-01-28 | 1009 WEBSTER AVE, ORLANDO, FL, 328042850, US | 1009 WEBSTER AVE, ORLANDO, FL, 328042850, US | |||||||||||||||||||||
|
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| Phone | +1 407-578-2225 |
Authorized person
| Name | DR. JASON R NITZSCHE |
| Role | OWNER |
| Phone | 4075782225 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9054 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1053300301 |
| Name | Role | Address |
|---|---|---|
| NITZSCHE JASON R | Agent | 308 Tavestock Loop, Winter Springs, FL, 32708 |
| Name | Role | Address |
|---|---|---|
| NITZSCHE JASON R | Director | 308 Tavestock Loop, Winter Springs, FL, 32708 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000003965 | ORLANDO SPINE CENTER | ACTIVE | 2010-01-11 | 2025-12-31 | No data | 1009 WEBSTER AVE, ORLANDO, FL, 32804 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-24 | 711 N Orlando Ave., Ste 303, Maitland, FL 32751 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-24 | 711 N Orlando Ave., Ste 303, Maitland, FL 32751 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-06-17 | 308 Tavestock Loop, Winter Springs, FL 32708 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-06-17 |
| ANNUAL REPORT | 2018-02-08 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-02-08 |
| ANNUAL REPORT | 2015-03-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
