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ISNER CHIROPRACTIC CLINIC, INC.

Company Details

Entity Name: ISNER CHIROPRACTIC CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Jan 2006 (19 years ago)
Date of dissolution: 19 Jul 2007 (18 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 19 Jul 2007 (18 years ago)
Document Number: P06000001013
FEI/EIN Number 204016419
Address: 1103 NATURE VIEW CIRCLE, PORT ORANGE, FL, 32128
Mail Address: 1103 NATURE VIEW CIRCLE, PORT ORANGE, FL, 32128
ZIP code: 32128
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871716597 2007-04-11 2020-08-22 1103 NATURE VIEW CIR, PORT ORANGE, FL, 321287454, US 1515 HERBERT ST STE 209, PORT ORANGE, FL, 321296105, US

Contacts

Phone +1 386-788-2596
Phone +1 386-767-7510
Fax 3867677511

Authorized person

Name DR. MATTHEW OWEN ISNER
Role PRESIDENT
Phone 3868520110

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CHIRO08035
State GA
Is Primary Yes

Agent

Name Role Address
ISNER MATTHEW Agent 1103 NATURE VIEW CIRCLE, PORT ORANGE, FL, 32128

President

Name Role Address
ISNER MATTHEW O President 1103 NATURE VIEW CIRCLE, PORT ORANGE, FL, 32128

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2007-07-19 No data No data

Documents

Name Date
Voluntary Dissolution 2007-07-19
ANNUAL REPORT 2007-04-01
Domestic Profit 2006-01-03

Date of last update: 01 Feb 2025

Sources: Florida Department of State