| Entity Name: | NECK & BACK CARE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Nov 2007 (17 years ago) |
| Document Number: | P07000123225 |
| FEI/EIN Number | 261393298 |
| Address: | 912 NE 5TH STREET, CRYSTAL RIVER, FL, 34429 |
| Mail Address: | 912 NE 5TH STREET, CRYSTAL RIVER, FL, 34429 |
| ZIP code: | 34429 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427230549 | 2007-11-30 | 2012-10-23 | 912 NE 5TH ST, HWY 44, CRYSTAL RIVER, FL, 344294444, US | 912 NE 5TH ST, HWY 44, CRYSTAL RIVER, FL, 344294444, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 352-563-5055 |
| Fax | 3525635069 |
Authorized person
| Name | DR. ANTHONY B. OLIVERIO |
| Role | OWNER |
| Phone | 3525635055 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH0007559 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 381129800 |
| State | FL |
| Issuer | BCBS |
| Number | 55797 |
| State | FL |
| Issuer | NPI INDIVIDUAL |
| Number | 1750303186 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ED SERRA, CPA | Agent | 6118 W. CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL, 34429 |
| Name | Role | Address |
|---|---|---|
| OLIVERIO ANTHONY B | President | 912 NE 5TH STREET, CRYSTAL RIVER, FL, 34429 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2010-02-17 | ED SERRA, CPA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-17 | 6118 W. CORPORATE OAKS DRIVE, CRYSTAL RIVER, FL 34429 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-06-16 | 912 NE 5TH STREET, CRYSTAL RIVER, FL 34429 | No data |
| CHANGE OF MAILING ADDRESS | 2009-06-16 | 912 NE 5TH STREET, CRYSTAL RIVER, FL 34429 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-15 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-03-11 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-03-06 |
| ANNUAL REPORT | 2016-02-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
