| Entity Name: | SF CHIROPRACTIC & REHAB CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Feb 2006 (19 years ago) |
| Document Number: | P06000025568 |
| FEI/EIN Number | 20-4359825 |
| Address: | 4121 N Armenia Ave, Tampa, FL 33607 |
| Mail Address: | 4121 N Armenia Ave, Tampa, FL 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245209287 | 2006-03-14 | 2018-11-20 | 4121 N ARMENIA AVE, TAMPA, FL, 336076433, US | 2312 CRESTOVER LN STE 101, WESLEY CHAPEL, FL, 335446790, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 813-350-9100 |
| Fax | 8133748929 |
| Phone | +1 813-501-8091 |
| Fax | 8138034729 |
Authorized person
| Name | DR. YONG H KIM |
| Role | PRESIDENT |
| Phone | 8133509100 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9101 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH6830 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS FLORIDA |
| Number | 98012 |
| State | FL |
| Issuer | ATENA |
| Number | 0007183804 |
| State | FL |
| Issuer | UNITED HEALTH CARE |
| Number | 698090 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KIM, YONG H | Agent | 4121 N Armenia Ave, Tampa, FL 33607 |
| Name | Role | Address |
|---|---|---|
| KIM, YONG H | President | 4121 N Armenia Ave, Tampa, FL 33607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000169097 | TAMPA MEDICAL ACUPUNCTURE CLINIC | EXPIRED | 2009-10-26 | 2014-12-31 | No data | 4602 N ARMENIA AVE, SUITE D-3, TAMPA, FL, 33603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-27 | 4121 N Armenia Ave, Tampa, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-27 | 4121 N Armenia Ave, Tampa, FL 33607 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-27 | 4121 N Armenia Ave, Tampa, FL 33607 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-02-20 | KIM, YONG H | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-02-18 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-01-31 |
| ANNUAL REPORT | 2016-02-12 |
| ANNUAL REPORT | 2015-03-02 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
