| Entity Name: | MICHAEL ERIC TOM, DC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Apr 2009 (16 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P09000030304 |
| Address: | 1320 NORTH MAIN STREET, SUITE B, KISSIMMEE, FL, 34744 |
| Mail Address: | 1320 NORTH MAIN STREET, SUITE B, KISSIMMEE, FL, 34744 |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477797819 | 2009-04-29 | 2009-04-29 | 1320 N MAIN ST, KISSIMMEE, FL, 347444289, US | 1320 N MAIN ST, KISSIMMEE, FL, 347444289, US | |||||||||||||||||||
|
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| Phone | +1 407-933-7246 |
| Fax | 4079330220 |
Authorized person
| Name | DR. MICHAEL ERIC TOM |
| Role | TREATING PHYSICIAN / PRESIDENT |
| Phone | 4079337246 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH 8768 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SPIEGEL & UTRERA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| TOM MICHAEL E | President | 1320 NORTH MAIN STREET, KISSIMMEE, FL, 34744 |
| Name | Role | Address |
|---|---|---|
| TOM MICHAEL E | Director | 1320 NORTH MAIN STREET, KISSIMMEE, FL, 34744 |
| Name | Role | Address |
|---|---|---|
| TOM HELEN | Secretary | 1320 NORTH MAIN STREET, KISSIMMEE, FL, 34744 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09098900165 | KISSIMMEE CHIROPRACTIC PHYSICIANS GROUP | EXPIRED | 2009-04-08 | 2014-12-31 | No data | 969 DESERT MOUNTAIN COURT, REUNION, FL, 34747 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2009-04-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
