| Entity Name: | SMITH CHIROPRACTIC CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Oct 2007 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 Sep 2023 (a year ago) |
| Document Number: | P07000117188 |
| FEI/EIN Number | 261307749 |
| Address: | 9007 UNIVERSITY PARKWAY, PENSACOLA, FL, 32514, US |
| Mail Address: | 9007 UNIVERSITY PARKWAY, PENSACOLA, FL, 32514, US |
| ZIP code: | 32514 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558543918 | 2007-11-28 | 2008-08-20 | 9013-D UNIVERSITY PKWY, PENSACOLA, FL, 32514, US | 9013-D UNIVERSITY PKWY, PENSACOLA, FL, 32514, US | |||||||||||||||||||||||
|
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| Phone | +1 850-380-7009 |
Authorized person
| Name | DR. PETER A SMITH |
| Role | CLINIC DIRECTOR/OWNER |
| Phone | 8503807009 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH 9119 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1003913161 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SMITH PETER A | Agent | 6051 Huntington Creek Blvd., Pensacola, FL, 32526 |
| Name | Role | Address |
|---|---|---|
| SMITH Peter | President | 6051 HUNTINGTON CREEK BLVD, PENSACOLA, FL, 32526 |
| Name | Role | Address |
|---|---|---|
| SMITH Peter | Vice President | 6051 HUNTINGTON CREEK BLVD, PENSACOLA, FL, 32526 |
| Name | Role | Address |
|---|---|---|
| SMITH Peter | Secretary | 6051 HUNTINGTON CREEK BLVD, PENSACOLA, FL, 32526 |
| Name | Role | Address |
|---|---|---|
| SMITH Peter | Treasurer | 6051 HUNTINGTON CREEK BLVD, PENSACOLA, FL, 32526 |
| Name | Role | Address |
|---|---|---|
| SMITH Peter | Director | 6051 Huntington Creek Blvd., Pensacola, FL, 32526 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-09-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-09-13 | SMITH, PETER AOWNER | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-09-13 | 6051 Huntington Creek Blvd., Pensacola, FL 32526 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-13 | 9007 UNIVERSITY PARKWAY, PENSACOLA, FL 32514 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-13 | 9007 UNIVERSITY PARKWAY, PENSACOLA, FL 32514 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-20 |
| ANNUAL REPORT | 2024-07-22 |
| REINSTATEMENT | 2023-09-13 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-02-08 |
| ANNUAL REPORT | 2012-01-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
