| Entity Name: | SHAFFER & LICHY DE LICHY AP PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 09 May 2005 (20 years ago) |
| Document Number: | P05000067997 |
| FEI/EIN Number | 20-2805853 |
| Address: | 15251 NE 18 AVENUE, SUITE 12, NORTH MIAMI BEACH, FL 33162 |
| Mail Address: | 15251 NE 18 AVENUE, SUITE 12, NORTH MIAMI BEACH, FL 33162 |
| ZIP code: | 33162 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992075659 | 2012-01-11 | 2012-01-11 | 15251 NE 18TH AVE, SUITE 12, NORTH MIAMI BEACH, FL, 331626039, US | 15251 NE 18TH AVE, SUITE 12, NORTH MIAMI BEACH, FL, 331626039, US | |||||||||||||||||||
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| Phone | +1 305-944-1290 |
| Fax | 3059441236 |
Authorized person
| Name | MR. THEODORE SHAFFER |
| Role | VICE PRESIDENT |
| Phone | 3059441290 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| License Number | AP1354 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAFFER, THEODORE | Agent | 15251 NE 18 AVENUE, SUITE 12, NORTH MIAMI BEACH, FL 33162 |
| Name | Role | Address |
|---|---|---|
| SHAFFER, THEODORE | Vice President | 15251 NE 18 AVENUE, #12, NORTH MIAMI BEACH, FL 33162 |
| Name | Role | Address |
|---|---|---|
| SHAFFER, THEODORE | Director | 15251 NE 18 AVENUE, #12, NORTH MIAMI BEACH, FL 33162 |
| LICHY DE LICHY, BRIGITTE | Director | 15251 NE 18 AVENUE, #12, NORTH MIAMI BEACH, FL 33162 |
| Name | Role | Address |
|---|---|---|
| LICHY DE LICHY, BRIGITTE | President | 15251 NE 18 AVENUE, #12, NORTH MIAMI BEACH, FL 33162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-29 | 15251 NE 18 AVENUE, SUITE 12, NORTH MIAMI BEACH, FL 33162 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-29 | 15251 NE 18 AVENUE, SUITE 12, NORTH MIAMI BEACH, FL 33162 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-29 | 15251 NE 18 AVENUE, SUITE 12, NORTH MIAMI BEACH, FL 33162 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-12 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-02-01 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
