| Entity Name: | MICHAEL STRUBLE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Jul 2010 (15 years ago) |
| Last Event: | ARTICLES OF CORRECTION/NAME CHANGE |
| Event Date Filed: | 06 Aug 2010 (15 years ago) |
| Document Number: | P10000062643 |
| FEI/EIN Number | 273165948 |
| Address: | 4883 PALM COAST PKWY, NW, SUITE 4, PALM COAST, FL, 32137 |
| Mail Address: | 4883 PALM COAST PKWY, NW, SUITE 4, PALM COAST, FL, 32137 |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902966807 | 2006-12-11 | 2012-04-05 | 4883 PALM COAST PKWY NW UNIT 4, PALM COAST, FL, 321373675, US | 4883 PALM COAST PKWY NW UNIT 4, PALM COAST, FL, 321373675, US | |||||||||||||||||||||||||||||
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| Phone | +1 386-445-6565 |
| Fax | 3864454481 |
Authorized person
| Name | MICHAEL DEAN STRUBLE |
| Role | CHIROPRACTOR/OWNER |
| Phone | 3864456565 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH8753 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 97003 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Struble Michael D | Agent | 4883 PALM COAST PKWY, NW, SUITE 4, PALM COAST, FL, 32137 |
| Name | Role | Address |
|---|---|---|
| STRUBLE MICHAEL Dr. | President | 4883 PALM COAST PKWY, NW, SUITE 4, PALM COAST, FL, 32137 |
| Name | Role | Address |
|---|---|---|
| STRUBLE MICHAEL Dr. | Director | 4883 PALM COAST PKWY, NW, SUITE 4, PALM COAST, FL, 32137 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000007284 | PALM COAST CHIROPRACTIC CLINIC | ACTIVE | 2023-01-17 | 2028-12-31 | No data | 4883 PALM COAST PARKWAY, NW, SUITE 4, PALM COAST, FL, 32137 |
| G12000003221 | PALM COAST CHIROPRACTIC CLINIC | EXPIRED | 2012-01-10 | 2017-12-31 | No data | 4883 PALM COAST PARKWAY N.W. SUITE 4, PALM COAST, FL, 32137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2016-04-25 | Struble, Michael D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-25 | 4883 PALM COAST PKWY, NW, SUITE 4, PALM COAST, FL 32137 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-11-07 | 4883 PALM COAST PKWY, NW, SUITE 4, PALM COAST, FL 32137 | No data |
| CHANGE OF MAILING ADDRESS | 2011-11-07 | 4883 PALM COAST PKWY, NW, SUITE 4, PALM COAST, FL 32137 | No data |
| ARTICLES OF CORRECTION | 2010-08-06 | No data | No data |
| ARTICLES OF CORRECT-ION/NAME CHANGE | 2010-08-06 | MICHAEL STRUBLE, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-05-15 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-02-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
