| Entity Name: | TARTACK CHIROPRACTIC & WELLNESS CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 May 2006 (19 years ago) |
| Document Number: | P06000062320 |
| FEI/EIN Number | 204826486 |
| Address: | 1222 S. Andrews Ave, FT. LAUDERDALE, FL, 33316, US |
| Mail Address: | 1222 S. Andrews Ave, FT. LAUDERDALE, FL, 33316, US |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104038066 | 2007-05-04 | 2015-01-16 | 1222 S ANDREWS AVE, SUITE 501, FORT LAUDERDALE, FL, 333161806, US | 1222 S ANDREWS AVE, SUITE 501, FORT LAUDERDALE, FL, 333161806, US | |||||||||||||||||||||||||
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| Phone | +1 954-764-4042 |
| Fax | 9547647275 |
Authorized person
| Name | JEFFREY S TARTACK |
| Role | OWNER |
| Phone | 9547644042 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0008769 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 382077700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TARTACK, DC JEFFREY S | Agent | 9625 E. TREE TOPS CT., DAVIE, FL, 33328 |
| Name | Role | Address |
|---|---|---|
| TARTACK, DC JEFFREY S | Director | 9625 E. TREE TOPS CT., DAVIE, FL, 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-11 | 1222 S. Andrews Ave, Suite 501, FT. LAUDERDALE, FL 33316 | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-11 | 1222 S. Andrews Ave, Suite 501, FT. LAUDERDALE, FL 33316 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-16 | 9625 E. TREE TOPS CT., DAVIE, FL 33328 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-02-09 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-02-17 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-02-26 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-02-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
