| Entity Name: | FIRST CHOICE CHIROPRACTIC OF ORMOND, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 27 May 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Jan 2015 (10 years ago) |
| Document Number: | P10000045668 |
| FEI/EIN Number | 27-2986390 |
| Address: | 1721 RIDGEWOOD AVE, HOLLY HILL, FL 32117 |
| Mail Address: | 1721 RIDGEWOOD AVE, HOLLY HILL, FL 32117 |
| ZIP code: | 32117 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891005369 | 2010-10-18 | 2012-02-18 | 800 STERTHAUS DR, SUITE A, ORMOND BEACH, FL, 321745132, US | 800 STERTHAUS DR, SUITE A, ORMOND BEACH, FL, 321745132, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 386-310-7246 |
| Fax | 3863104952 |
Authorized person
| Name | DR. BRAD TEPPER |
| Role | PRESIDENT |
| Phone | 3863107246 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8484 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10046 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10229 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBSFL |
| Number | 001E5 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TEPPER, SCOTT C | Agent | 120 E. GRANADA BLVD, ORMOND BEACH, FL 32176 |
| Name | Role | Address |
|---|---|---|
| TEPPER, BRADLEY D | President | 123 University Circle, ORMOND BEACH, FL 32176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-28 | 1721 RIDGEWOOD AVE, HOLLY HILL, FL 32117 | No data |
| REINSTATEMENT | 2015-01-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-01-28 | TEPPER, SCOTT C | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| AMENDMENT | 2013-10-10 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2013-10-10 | 1721 RIDGEWOOD AVE, HOLLY HILL, FL 32117 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-02-15 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-28 |
| REINSTATEMENT | 2015-01-28 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
