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CHIROPRACTIC & INJURY CENTER, INC.

Company Details

Entity Name: CHIROPRACTIC & INJURY CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 13 Oct 2010 (14 years ago)
Date of dissolution: 11 Jul 2011 (14 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 11 Jul 2011 (14 years ago)
Document Number: P10000083931
FEI/EIN Number 273682606
Address: 750 E. SAMPLE ROAD,, BLDG 10 STE 6, POMPANO BEACH, FL, 33064
Mail Address: 750 E. SAMPLE ROAD,, BLDG 10 STE 6, POMPANO BEACH, FL, 33064
ZIP code: 33064
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740582949 2010-11-22 2010-11-22 750 E SAMPLE ROAD, BLDG 10# 6, POMPANO BEACH, FL, 33064, US 750 E SAMPLE RD, BLDG 10# 6, POMPANO BEACH, FL, 330645144, US

Contacts

Phone +1 954-586-4907
Fax 9545864912

Authorized person

Name DR. DOUGLAS D GAGNON
Role CHIROPRACTOR
Phone 9545864907

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH 8635
State FL
Is Primary Yes

Agent

Name Role Address
GAGNON DOUGLAS D Agent 750 E. SAMPLE ROAD,, POMPANO BEACH, FL, 33064

President

Name Role Address
GAGNON DOUGLAS D President 750 E. SAMPLE ROAD, BLDG 10 STE 6, POMPANO BEACH, FL, 33064

Vice President

Name Role Address
GAGNON DOUGLAS D Vice President 750 E. SAMPLE ROAD, BLDG 10 STE 6, POMPANO BEACH, FL, 33064

Secretary

Name Role Address
GAGNON DOUGLAS D Secretary 750 E. SAMPLE ROAD, BLDG 10 STE 6, POMPANO BEACH, FL, 33064

Treasurer

Name Role Address
GAGNON DOUGLAS D Treasurer 750 E. SAMPLE ROAD, BLDG 10 STE 6, POMPANO BEACH, FL, 33064

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2011-07-11 No data No data
CHANGE OF PRINCIPAL ADDRESS 2011-04-15 750 E. SAMPLE ROAD,, BLDG 10 STE 6, POMPANO BEACH, FL 33064 No data
CHANGE OF MAILING ADDRESS 2011-04-15 750 E. SAMPLE ROAD,, BLDG 10 STE 6, POMPANO BEACH, FL 33064 No data
REGISTERED AGENT ADDRESS CHANGED 2011-04-15 750 E. SAMPLE ROAD,, BLDG 10 STE 6, POMPANO BEACH, FL 33064 No data

Documents

Name Date
Voluntary Dissolution 2011-07-11
ANNUAL REPORT 2011-04-15
Domestic Profit 2010-10-13

Date of last update: 01 Feb 2025

Sources: Florida Department of State