Entity Name: | HALAJCSIK CHIROPRACTIC CLINIC PA |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 15 Jan 2008 (17 years ago) |
Document Number: | P08000005376 |
FEI/EIN Number | 261750910 |
Address: | 4350 Fowler St., FORT MYERS, FL, 33901, US |
Mail Address: | 4350 Fowler Street, FORT MYERS, FL, 33901, US |
ZIP code: | 33901 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1528231883 | 2008-04-08 | 2016-08-30 | 4350 FOWLER ST STE 1B, SUITE 101, FORT MYERS, FL, 339012616, US | 4350 FOWLER ST STE 1B, SUITE 101, FORT MYERS, FL, 339012616, US | |||||||||||||||||
|
Phone | +1 239-561-3838 |
Authorized person
Name | DR. DANIEL SCOTT HALAJCSIK |
Role | CHIROPRACTOR |
Phone | 2395613838 |
Taxonomy
Taxonomy Code | 111N00000X - Chiropractor |
License Number | CH9473 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HALAJCSIK DANIEL S | Agent | 4350 Fowler Street, FORT MYERS, FL, 33901 |
Name | Role | Address |
---|---|---|
HALAJCSIK DANIEL S | Chief Executive Officer | 4350 Fowler Street, FORT MYERS, FL, 33901 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G24000074497 | EDISON SQUARE CHIROPRACTIC | ACTIVE | 2024-06-17 | 2029-12-31 | No data | 4350 FOWLER ST, STE 1B, FORT MYERS, FL, 33901 |
G13000048880 | EDISON SQUARE CHIROPRACTIC PA | EXPIRED | 2013-05-23 | 2018-12-31 | No data | 4350 FOWLER ST, STE. 1B, FORT MYERS, FL, 33901 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2014-04-02 | 4350 Fowler St., SUITE 1B, FORT MYERS, FL 33901 | No data |
CHANGE OF MAILING ADDRESS | 2014-04-02 | 4350 Fowler St., SUITE 1B, FORT MYERS, FL 33901 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2014-04-02 | 4350 Fowler Street, SUITE 1B, FORT MYERS, FL 33901 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-25 |
ANNUAL REPORT | 2023-04-14 |
ANNUAL REPORT | 2022-04-11 |
ANNUAL REPORT | 2021-05-03 |
ANNUAL REPORT | 2020-04-21 |
ANNUAL REPORT | 2019-04-02 |
ANNUAL REPORT | 2018-06-08 |
ANNUAL REPORT | 2017-04-28 |
ANNUAL REPORT | 2016-02-12 |
ANNUAL REPORT | 2015-04-24 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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5725098202 | 2020-08-08 | 0455 | PPP | 4350 Fowler Street Suite 1B, Fort Myers, FL, 33901-2600 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State