| Entity Name: | CHIROPRACTIC USA OF BUFFALO RIDGE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Jun 2010 (15 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 28 Jun 2010 (15 years ago) |
| Document Number: | P10000051730 |
| FEI/EIN Number | 272894977 |
| Address: | 3614 WEDGEWOOD LN, THE VILLAGES, FL, 32162 |
| Mail Address: | 942 SE 17th Street, OCALA, FL, 34471, US |
| ZIP code: | 32162 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568776276 | 2010-08-05 | 2016-08-30 | 7668 S.W. 60TH AVENUE, SUITE 500, OCALA, FL, 344766404, US | 3614 WEDGEWOOD LN, THE VILLAGES, FL, 321629318, US | |||||||||||||||||||||||||||||
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| Phone | +1 352-351-2872 |
| Fax | 3523510003 |
| Phone | +1 352-259-2225 |
| Fax | 3522594411 |
Authorized person
| Name | DR. RENNY M EDELSON |
| Role | CHIROPRACTOR/OWNER |
| Phone | 9542702884 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH5257 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 000ZG |
| State | FL |
| Name | Role | Address |
|---|---|---|
| EDELSON RENNY M | Agent | 969 SE 69th Place, OCALA, FL, 34480 |
| Name | Role | Address |
|---|---|---|
| EDELSON RENNY M | President | 969 SE 69th Place, OCALA, FL, 34480 |
| Name | Role | Address |
|---|---|---|
| EDELSON MARGARET P | Secretary | 969 SE 69th Place, Ocala, FL, 34480 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000022049 | ALIGNLIFE | ACTIVE | 2021-02-15 | 2026-12-31 | No data | 7668 SW 60TH AVENUE, SUITE 500, OCALA, FL, 34476 |
| G10000061889 | TOTAL CARE III | EXPIRED | 2010-07-06 | 2015-12-31 | No data | 300 NW 70TH AVE #100, PLANTATION, FL, 33317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-03-08 | 3614 WEDGEWOOD LN, THE VILLAGES, FL 32162 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-09 | 969 SE 69th Place, OCALA, FL 34480 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-26 | 3614 WEDGEWOOD LN, THE VILLAGES, FL 32162 | No data |
| AMENDMENT AND NAME CHANGE | 2010-06-28 | CHIROPRACTIC USA OF BUFFALO RIDGE, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
