| Entity Name: | DEERWOOD LAKE CHIROPRACTIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Oct 2005 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Nov 2024 (2 months ago) |
| Document Number: | P05000139521 |
| FEI/EIN Number | 203606341 |
| Address: | 4540 SOUTHSIDE BLVD, 1101, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 4540 SOUTHSIDE BLVD, 1101, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295918548 | 2007-12-10 | 2007-12-17 | 4540 SOUTHSIDE BLVD, STE. # 1101, JACKSONVILLE, FL, 322165492, US | 4540 SOUTHSIDE BLVD, STE. # 1101, JACKSONVILLE, FL, 322165492, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 904-996-8660 |
| Fax | 9049968650 |
Authorized person
| Name | LEAH LETT |
| Role | OFFICE MANAGER |
| Phone | 9049968660 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH6864 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Fort Peter AD.C. | Agent | 4050 Chicora Wood Place, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| Fort Peter AD.C. | Director | 4540 Southside Blvd, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| Fort Peter AD.C. | Chairman | 4540 Southside Blvd, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-14 | 4050 Chicora Wood Place, JACKSONVILLE, FL 32224 | No data |
| REINSTATEMENT | 2021-04-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2019-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2018-12-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-13 | Fort, Peter Anthony, D.C. | No data |
| REINSTATEMENT | 2016-04-13 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-27 |
| ANNUAL REPORT | 2022-07-14 |
| REINSTATEMENT | 2021-04-14 |
| REINSTATEMENT | 2019-10-17 |
| REINSTATEMENT | 2018-12-11 |
| ANNUAL REPORT | 2017-03-28 |
| REINSTATEMENT | 2016-04-13 |
| ANNUAL REPORT | 2013-03-22 |
| ANNUAL REPORT | 2012-02-20 |
| ANNUAL REPORT | 2011-03-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
