| Entity Name: | DRJASENMED, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Feb 2005 (20 years ago) |
| Document Number: | P05000024234 |
| FEI/EIN Number | 342035960 |
| Address: | 4332 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406, US |
| Mail Address: | 4332 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366574667 | 2007-03-12 | 2020-08-22 | 4332 FOREST HILL BLVD, WEST PALM BEACH, FL, 334065718, US | 4332 FOREST HILL BLVD, WEST PALM BEACH, FL, 334065718, US | |||||||||||||||||||||||||
|
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| Phone | +1 561-965-2500 |
| Fax | 5619650708 |
Authorized person
| Name | DR. JASON ADAM CLEVELAND |
| Role | OWNER |
| Phone | 5619652500 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8176 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CLEVELAND JASON A | Agent | 6089 BEACONWOOD RD., LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| CLEVELAND JASON A | President | 6089 BEACONWOOD RD., LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| CLEVELAND ALLISON G | Vice President | 6089 BEACONWOOD RD., LAKE WORTH, FL, 33467 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000083648 | C3 CHIROPRACTIC AND WELLNESS CENTERS | EXPIRED | 2016-08-09 | 2021-12-31 | No data | 4332 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406 |
| G16000041397 | CENTRAL PALM MEDICAL GROUP | EXPIRED | 2016-04-25 | 2021-12-31 | No data | 4332 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406 |
| G12000097955 | PALM BEACH BODYWORKS | EXPIRED | 2012-10-06 | 2017-12-31 | No data | 4332 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406 |
| G10000042542 | C3 CHIROPRACTIC AND WELLNESS CENTER OF WEST PALM BEACH | EXPIRED | 2010-05-14 | 2015-12-31 | No data | 4332 FOREST HILL BLVD., WEST PALM BEACH, FL, 33406 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-05-25 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-04-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
