| Entity Name: | ACTIVE CHIROPRACTIC & REHABILITATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Jul 2006 (19 years ago) |
| Document Number: | P06000100603 |
| FEI/EIN Number | 205319173 |
| Address: | 2329 SUNSET POINT RD, STE #204, CLEARWATER, FL, 33765, US |
| Mail Address: | 2329 SUNSET POINT RD, STE #204, CLEARWATER, FL, 33765, US |
| ZIP code: | 33765 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346465390 | 2007-04-16 | 2019-09-05 | 2329 SUNSET POINT RD STE 204, CLEARWATER, FL, 337651438, US | 2329 SUNSET POINT RD STE 204, CLEARWATER, FL, 33765, US | |||||||||||||||||||||||||
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| Phone | +1 727-712-8900 |
| Fax | 7276839863 |
Authorized person
| Name | DR. MARCUS DAVID MILNES |
| Role | PRESIDENT |
| Phone | 7277128900 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8540 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 382176500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MILNES MARCUS D | Agent | 3167 Chamblee Lane, Clearwater, FL, 33759 |
| Name | Role | Address |
|---|---|---|
| Milnes Marcus D | President | 3167 Chamblee Lane, Clearwater, FL, 33759 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000027312 | ACTIVE CHIROPRACTIC | ACTIVE | 2013-03-19 | 2028-12-31 | No data | 2329 SUNSET POINT RD, STE 204, CLEARWATER, FL, 33765 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-09 | 3167 Chamblee Lane, Clearwater, FL 33759 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-11-15 | 2329 SUNSET POINT RD, STE #204, CLEARWATER, FL 33765 | No data |
| CHANGE OF MAILING ADDRESS | 2018-11-15 | 2329 SUNSET POINT RD, STE #204, CLEARWATER, FL 33765 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-03-12 | MILNES, MARCUS D | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-03-05 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-02-18 |
| ANNUAL REPORT | 2016-03-25 |
| ANNUAL REPORT | 2015-03-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
