| Entity Name: | DR ALEXIS BERGAN-GUZMAN, DC, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Apr 2010 (15 years ago) |
| Document Number: | P10000032434 |
| FEI/EIN Number | 272344274 |
| Address: | 630 N Logan Ave, Danville, IL, 61832, US |
| Mail Address: | 630 N Logan Ave, Danville, IL, 61832, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942514443 | 2010-07-27 | 2010-07-27 | 671 NW 89TH AVE, PLANTATION, FL, 333246108, US | 116 NW 5TH STREET, CRYSTAL RIVER, FL, 34428, US | |||||||||||||||||
|
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| Phone | +1 954-850-0704 |
Authorized person
| Name | DR. ALEXIS R BERGAN-GUZMAN |
| Role | OWNER/PRESIDENT |
| Phone | 9548500704 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH9941 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BERGAN-GUZMAN ALEXIS R | Agent | 630 N Logan Ave, Danville, FL, 61832 |
| Name | Role | Address |
|---|---|---|
| BERGAN-GUZMAN ALEXIS Dr. | President | 630 N Logan Ave, Danville, IL, 61832 |
| Name | Role | Address |
|---|---|---|
| BERGAN-GUZMAN ALEXIS Dr. | Vice President | 630 N Logan Ave, Danville, IL, 61832 |
| Name | Role | Address |
|---|---|---|
| BERGAN-GUZMAN ALEXIS RDr. | Secretary | 630 N Logan Ave, Danville, IL, 61832 |
| Name | Role | Address |
|---|---|---|
| BERGAN-GUZMAN ALEXIS Dr. | Treasurer | 630 N Logan Ave, Danville, IL, 61832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-30 | 630 N Logan Ave, Danville, IL 61832 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-30 | 630 N Logan Ave, Danville, IL 61832 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-30 | 630 N Logan Ave, Danville, FL 61832 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-30 | BERGAN-GUZMAN, ALEXIS R | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
