| Entity Name: | CARLISLE CHIROPRACTIC CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Aug 2006 (18 years ago) |
| Document Number: | P06000110209 |
| FEI/EIN Number | 753220844 |
| Mail Address: | 152 N. HARBOR CITY BLVD., SUITE 100, MELBOURNE, FL, 32935, US |
| Address: | 152 N Harbor City Blvd, SUITE 100, MELBOURNE, FL, 32935, US |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659597623 | 2007-04-18 | 2020-08-22 | 1900 S HARBOR CITY BLVD, #109, MELBOURNE, FL, 329014749, US | 1900 S HARBOR CITY BLVD, #109, MELBOURNE, FL, 329014749, US | |||||||||||||||||||||||||
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| Phone | +1 321-724-0579 |
| Fax | 3217249788 |
Authorized person
| Name | DR. DEANNA RUTH CARLISLE |
| Role | PRESIDENT |
| Phone | 3217240579 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7519 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 55726 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ATHERTON DEANNA CDr. | Agent | 152 N. HARBOR CITY BLVD, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| ATHERTON DEANNA C | President | 1217 PALMDALE CIRCLE NE, PALM BAY, FL, 32905 |
| Name | Role | Address |
|---|---|---|
| ATHERTON DEANNA C | Vice President | 1217 PALMDALE CIRCLE NE, PALM BAY, FL, 32905 |
| Name | Role | Address |
|---|---|---|
| ATHERTON DEANNA C | Secretary | 1217 PALMDALE CIRCLE NE, PALM BAY, FL, 32905 |
| Name | Role | Address |
|---|---|---|
| ATHERTON DEANNA C | Treasurer | 1217 PALMDALE CIRCLE NE, PALM BAY, FL, 32905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-04-13 | ATHERTON, DEANNA CARLISLE, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-27 | 152 N Harbor City Blvd, SUITE 100, MELBOURNE, FL 32935 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-27 | 152 N Harbor City Blvd, SUITE 100, MELBOURNE, FL 32935 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-27 | 152 N. HARBOR CITY BLVD, #100, MELBOURNE, FL 32935 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-04-13 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
