| Entity Name: | HUMPHREY CHIROPRACTIC CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 May 2005 (20 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P05000070363 |
| FEI/EIN Number | 202852180 |
| Address: | 605 OVERLOOK DR., WINTER HAVEN, FL, 33884 |
| Mail Address: | 605 OVERLOOK DR., WINTER HAVEN, FL, 33884 |
| ZIP code: | 33884 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710162813 | 2008-01-08 | 2013-04-11 | 605 OVERLOOK DRIVE, SUITE 1, WINTER HAVEN, FL, 33884, US | 605 OVERLOOK DRIVE, SUITE 1, WINTER HAVEN, FL, 33884, US | |||||||||||||
|
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| Phone | +1 863-318-9649 |
Authorized person
| Name | DR. GARY V HUMPHREY |
| Role | OWNER |
| Phone | 8633189649 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HUMPHREY GARY V | Agent | 4224 Dornoch Drive, Lake Wales, FL, 33859 |
| Name | Role | Address |
|---|---|---|
| HUMPHREY GARY V | President | 4224 Dornoch Drive, Lake Wales, FL, 33859 |
| Name | Role | Address |
|---|---|---|
| HUMPHREY GARY V | Director | 4224 Dornoch Drive, Lake Wales, FL, 33859 |
| HUMPHREY DORIS A | Director | 4224 Dornoch Drive, Lakes Wales, FL, 33859 |
| Name | Role | Address |
|---|---|---|
| HUMPHREY DORIS A | Vice President | 4224 Dornoch Drive, Lakes Wales, FL, 33859 |
| Name | Role | Address |
|---|---|---|
| HUMPHREY DORIS A | Secretary | 4224 Dornoch Drive, Lakes Wales, FL, 33859 |
| Name | Role | Address |
|---|---|---|
| HUMPHREY DORIS A | Treasurer | 4224 Dornoch Drive, Lakes Wales, FL, 33859 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-24 | 4224 Dornoch Drive, Lake Wales, FL 33859 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-11 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-04-07 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-26 |
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-04-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
