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SOUTH MANDARIN CHIROPRACTIC & WELLNESS, INC.

Company Details

Entity Name: SOUTH MANDARIN CHIROPRACTIC & WELLNESS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Dec 2006 (18 years ago)
Document Number: P06000148789
FEI/EIN Number 205986693
Address: 11808 SAN JOSE BLVD, JACKSONVILLE, FL, 32223, US
Mail Address: 11808 SAN JOSE BLVD, JACKSONVILLE, FL, 32223, US
ZIP code: 32223
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114061546 2007-02-18 2020-08-22 12058 SAN JOSE BLVD STE 301, JACKSONVILLE, FL, 322231842, US 12058 SAN JOSE BLVD STE 301, JACKSONVILLE, FL, 322231842, US

Contacts

Phone +1 904-880-3271
Fax 9048803273

Authorized person

Name WILLIAM MOLESKY
Role ASSOCIATE
Phone 9048803271

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH9192
State FL
Is Primary Yes

Agent

Name Role Address
HUTZELL JACOB D Agent 11808 SAN JOSE BLVD, JACKSONVILLE, FL, 32223

President

Name Role Address
HUTZELL JACOB J President 11808 SAN JOSE BLVD, JACKSONVILLE, FL, 32223

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2015-04-05 11808 SAN JOSE BLVD, Suite 2, JACKSONVILLE, FL 32223 No data
CHANGE OF MAILING ADDRESS 2015-04-05 11808 SAN JOSE BLVD, Suite 2, JACKSONVILLE, FL 32223 No data
REGISTERED AGENT ADDRESS CHANGED 2015-04-05 11808 SAN JOSE BLVD, Suite 2, JACKSONVILLE, FL 32223 No data
REGISTERED AGENT NAME CHANGED 2009-02-11 HUTZELL, JACOB D.C. No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-11
ANNUAL REPORT 2016-01-25
ANNUAL REPORT 2015-04-05

Date of last update: 03 Feb 2025

Sources: Florida Department of State