| Entity Name: | CHANG CHIROPRACTIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Jul 2005 (20 years ago) |
| Document Number: | P05000104431 |
| FEI/EIN Number | 383725230 |
| Address: | 1803 N.E. JENSEN BEACH BLVD., JENSEN BEACH, FL, 34957 |
| Mail Address: | 1803 N.E. JENSEN BEACH BLVD., JENSEN BEACH, FL, 34957 |
| ZIP code: | 34957 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821038639 | 2006-06-08 | 2008-11-12 | 1803 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 349577233, US | 1803 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 349577233, US | |||||||||||||||||||||||
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| Phone | +1 772-334-1377 |
Authorized person
| Name | DR. JOEY BRIAN CHANG |
| Role | OWNER |
| Phone | 7723371377 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | CH8405 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD FL |
| Number | 64015 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CHANG JOEY BDC | Agent | 1803 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 34957 |
| Name | Role | Address |
|---|---|---|
| CHANG JOEY BDC | President | 1803 NE JENSEN BEACH BLVD, JENSEN BEACH, FL, 34957 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-20 | 1803 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-03-11 | CHANG, JOEY B, DC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-01-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
