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WHITE SANDS CHIROPRACTIC CLINIC, INC.

Company Details

Entity Name: WHITE SANDS CHIROPRACTIC CLINIC, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Jul 2006 (19 years ago)
Document Number: P06000098235
FEI/EIN Number 134338867
Address: 24 BEAL PARKWAY SW, FORT WALTON BEACH, FL, 32548, US
Mail Address: 24 BEAL PARKWAY SW, FORT WALTON BEACH, FL, 32548, US
ZIP code: 32548
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881715977 2007-04-03 2007-07-11 24 BEAL PKWY SW, FORT WALTON BEACH, FL, 325485388, US 24 BEAL PKWY SW, FORT WALTON BEACH, FL, 325485388, US

Contacts

Phone +1 850-226-6728
Fax 8502266729

Authorized person

Name DR. ERIK RYAN PERSIANI
Role OWNER
Phone 8502266728

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes
Taxonomy Code 171100000X - Acupuncturist
Is Primary No

Agent

Name Role Address
PERSIANI ERIK R Agent 305 Patricia LN, FORT WALTON BEACH, FL, 32547

President

Name Role Address
PERSIANI ERIK R President 305 Patricia LN, FORT WALTON BEACH, FL, 32547

Vice President

Name Role Address
Persiani Irina Vice President 305 Patricia Ln, FORT WALTON BEACH, FL, 32547

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2015-03-24 PERSIANI, ERIK Ryan No data
REGISTERED AGENT ADDRESS CHANGED 2015-03-24 305 Patricia LN, FORT WALTON BEACH, FL 32547 No data
CHANGE OF PRINCIPAL ADDRESS 2011-03-14 24 BEAL PARKWAY SW, FORT WALTON BEACH, FL 32548 No data
CHANGE OF MAILING ADDRESS 2011-03-14 24 BEAL PARKWAY SW, FORT WALTON BEACH, FL 32548 No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-03-23
ANNUAL REPORT 2021-07-27
ANNUAL REPORT 2020-03-04
ANNUAL REPORT 2019-02-06
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-07-03
ANNUAL REPORT 2016-04-04
ANNUAL REPORT 2015-03-24

Date of last update: 02 Feb 2025

Sources: Florida Department of State