| Entity Name: | MODERN MEDICINE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 29 Jan 2009 (16 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Oct 2012 (12 years ago) |
| Document Number: | P09000008832 |
| FEI/EIN Number | 26-4225297 |
| Address: | 5458 TOWN CENTER ROAD, SUITE 104, BOCA RATON, FL 33486 |
| Mail Address: | 5458 TOWN CENTER ROAD, SUITE 104, BOCA RATON, FL 33486 |
| ZIP code: | 33486 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407095326 | 2009-02-17 | 2009-03-04 | 5458 TOWN CENTER RD STE 104, BOCA RATON, FL, 334861026, US | 5458 TOWN CENTER RD STE 104, BOCA RATON, FL, 334861026, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 561-859-4275 |
Authorized person
| Name | DR. WILLLIAM FREDERICK VANDERBROOK III |
| Role | OWNER |
| Phone | 9544282729 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8063 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SOUTH FLORIDA TAX, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| VANDERBROOK, WILLIAM | President | 5458 TOWN CENTER ROAD, SUITE 104, BOCA RATON, FL 33486 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000103239 | MODERN PAIN SOLUTIONS | ACTIVE | 2021-08-09 | 2026-12-31 | No data | 5458 TOWN CENTER ROAD, STE 104, BOCA RATON, FL, 33486 |
| G20000031101 | BOCA RATON COSMETIC DERMATOLOGY | ACTIVE | 2020-03-11 | 2025-12-31 | No data | 5458 TOW N CENTER ROAD, STE 104, BOCA RATON, FL, 33486 |
| G17000024385 | MODERN MEDICINE | EXPIRED | 2017-03-07 | 2022-12-31 | No data | 5458 TOWN CENTER ROAD, STE 104, BOCA RATON, FL, 33486 |
| G13000001450 | PALM CHIROPRACTIC & REHABILITATION | EXPIRED | 2013-01-04 | 2018-12-31 | No data | 5458 TOWN CENTER ROAD, SUITE 104, BOCA RATON, FL, 33486 |
| G11000049179 | PAIN & REHAB CENTERS OF SOUTH FLORIDA | EXPIRED | 2011-05-24 | 2016-12-31 | No data | 5458 TOWN CENTER ROAD, SUITE 104, BOCA RATON, FL, 33486 |
| G09041900460 | WELLNESS MD | EXPIRED | 2009-02-10 | 2014-12-31 | No data | 5458 TOWN CENTER ROAD, SUITE 104, BOCA RATON, FL, 33486 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-04-04 | SOUTH FLORIDA TAX | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-04 | 12401 ORANGE DRIVE, STE 222, DAVIE, FL 33330 | No data |
| REINSTATEMENT | 2012-10-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-24 | 5458 TOWN CENTER ROAD, SUITE 104, BOCA RATON, FL 33486 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-24 | 5458 TOWN CENTER ROAD, SUITE 104, BOCA RATON, FL 33486 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-18 |
| ANNUAL REPORT | 2020-03-29 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-03-25 |
| ANNUAL REPORT | 2015-03-21 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
