| Entity Name: | BERMUDEZ CHIROPRACTIC CENTER, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Aug 2008 (17 years ago) |
| Document Number: | P08000072635 |
| FEI/EIN Number | 263109583 |
| Address: | 14042 PALM BEACH BLVD., FT. MYERS, FL, 33905, US |
| Mail Address: | PO BOX 61, ESTERO, FL, 33929 |
| ZIP code: | 33905 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073751863 | 2009-02-02 | 2011-04-19 | PO BOX 61, ESTERO, FL, 339290061, US | 4801 PALM BEACH BLVD, FORT MYERS, FL, 339053214, US | |||||||||||||||||||||
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| Phone | +1 239-919-9899 |
| Fax | 2393135427 |
| Phone | +1 239-313-5427 |
Authorized person
| Name | DR. JACQUELINE BERMUDEZ |
| Role | CHIROPRACTOR |
| Phone | 2399199899 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| License Number | CH8963 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BERMUDEZ JACQUELINE | Agent | 14042 PALM BEACH BLVD., FT. MYERS, FL, 33905 |
| Name | Role | Address |
|---|---|---|
| BERMUDEZ JACQUELINE | President | 14042 PALM BEACH BLVD., FT. MYERS, FL, 33905 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000036569 | RIVERDALE CHIROPRACTIC CENTER | EXPIRED | 2018-03-19 | 2023-12-31 | No data | 14042 PALM BEACH BLVD, FORT MYERS, FL, 33905 |
| G15000102165 | RIVERDALE CHIROPRACTIC & WELLNESS CENTER | EXPIRED | 2015-10-06 | 2020-12-31 | No data | 14042 PALM BEACH BLVD., FORT MYERS, FL, 33905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-23 | 14042 PALM BEACH BLVD., FT. MYERS, FL 33905 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-23 | 14042 PALM BEACH BLVD., FT. MYERS, FL 33905 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-06 | 14042 PALM BEACH BLVD., FT. MYERS, FL 33905 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-01-17 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-24 |
| ANNUAL REPORT | 2017-03-09 |
| ANNUAL REPORT | 2016-02-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
