| Entity Name: | JENNIFER C. BOURST. DC, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Mar 2005 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Nov 2016 (8 years ago) |
| Document Number: | P05000037848 |
| FEI/EIN Number | 043808493 |
| Address: | 13750 W. COLONIAL DR., 318, WINTER GARDEN, FL, 34787, UN |
| Mail Address: | 17306 AUTUMN PINES CT., CLERMONT, FL, 34711 |
| ZIP code: | 34787 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184804577 | 2007-11-14 | 2008-03-25 | 13750 W COLONIAL DR, SUITE 318, WINTER GARDEN, FL, 347874204, US | 13750 W COLONIAL DR, SUITE 318, WINTER GARDEN, FL, 347874204, US | |||||||||||||||||||||||||
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| Phone | +1 407-654-4506 |
| Fax | 4076544506 |
Authorized person
| Name | JENNIFER C BOURST |
| Role | PRESIDENT |
| Phone | 4076544506 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH 7986 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | GROUP IDENTIFICATION NUMB |
| Number | K8143 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOURST JENNIFER C | Agent | 17306 AUTUMN PINES CT., CLERMONT, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| BOURST JENNIFER C | President | 17306 AUTUMN PINES CT., CLERMONT, FL, 34711 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000082364 | UNITY FAMILY CHIROPRACTIC | ACTIVE | 2016-08-08 | 2026-12-31 | No data | 13750 W COLONIAL DR 318, WINTER GARDEN, FL, 34787 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2016-11-07 | BOURST, JENNIFER C | No data |
| REINSTATEMENT | 2016-11-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2013-12-12 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-12-12 | 17306 AUTUMN PINES CT., CLERMONT, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2013-12-12 | 13750 W. COLONIAL DR., 318, WINTER GARDEN, FL 34787 UN | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-16 | 13750 W. COLONIAL DR., 318, WINTER GARDEN, FL 34787 UN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-04-02 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-07 |
| REINSTATEMENT | 2016-11-07 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
