| Entity Name: | A-Z GONSTEAD CHIROPRACTIC CLINIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Dec 2006 (18 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P06000156441 |
| FEI/EIN Number | 450552623 |
| Address: | 115 8TH STREET W, JACKSONVILLE, FL, 32206 |
| Mail Address: | PO BOX 40966, JACKSONVILLE, FL, 32203 |
| ZIP code: | 32206 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588802540 | 2009-01-29 | 2009-02-23 | 1833 N PEARL ST, JACKSONVILLE, FL, 322063663, US | 1833 N PEARL ST, JACKSONVILLE, FL, 322063663, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-350-3737 |
| Fax | 9043587749 |
Authorized person
| Name | DR. ZEBOYE ARCHELL DOCTOR |
| Role | CEO AND CLINIC DIRECTOR |
| Phone | 9043503737 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9349 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1609075373 |
| State | FL |
| Issuer | MEDICAID |
| Number | 382222200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DOCTOR ZEBOYE A | Agent | 117 8TH STREET W, JACKSONVILLE, FL, 32206 |
| Name | Role | Address |
|---|---|---|
| DOCTOR ZEBOYE A | Director | 117 8TH STREET W, JACKSONVILLE, FL, 32209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-29 | 115 8TH STREET W, JACKSONVILLE, FL 32206 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-29 | 117 8TH STREET W, JACKSONVILLE, FL 32206 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-29 | 115 8TH STREET W, JACKSONVILLE, FL 32206 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-29 |
| ANNUAL REPORT | 2011-04-19 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-16 |
| ANNUAL REPORT | 2008-04-01 |
| ANNUAL REPORT | 2007-02-06 |
| Domestic Profit | 2006-12-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
