| Entity Name: | ERIC S. HANSEN, DC, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Mar 2011 (14 years ago) |
| Date of dissolution: | 25 Jan 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Jan 2016 (9 years ago) |
| Document Number: | P11000022263 |
| FEI/EIN Number | 275317725 |
| Address: | 2705 BURRIS RD STE 1A, DAVIE, FL, 33314 |
| Mail Address: | 2705 BURRIS RD STE 1A, DAVIE, FL, 33314 |
| ZIP code: | 33314 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164721999 | 2011-03-18 | 2011-09-01 | 3020 E COMMERCIAL BLVD, FORT LAUDERDALE, FL, 333084312, US | 3020 E COMMERCIAL BLVD, FORT LAUDERDALE, FL, 333084312, US | |||||||||||||||||
|
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| Phone | +1 954-351-5565 |
Authorized person
| Name | ERIC S HANSEN |
| Role | CHIROPRACTOR |
| Phone | 9543515565 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 10125 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HANSEN ERIC S | Agent | 2705 BURRIS RD STE 1A, DAVIE, FL, 33314 |
| Name | Role | Address |
|---|---|---|
| HANSEN ERIC S | President | 3020 EAST COMMERCIAL BLVD, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| HANSEN ERIC S | Director | 3020 EAST COMMERCIAL BLVD, FORT LAUDERDALE, FL, 33308 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000055601 | ERIC HANSEN | EXPIRED | 2011-06-08 | 2016-12-31 | No data | 3020 E COMMERCIAL BLVD, FORT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-01-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-06-29 | 2705 BURRIS RD STE 1A, DAVIE, FL 33314 | No data |
| CHANGE OF MAILING ADDRESS | 2015-06-29 | 2705 BURRIS RD STE 1A, DAVIE, FL 33314 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-06-29 | 2705 BURRIS RD STE 1A, DAVIE, FL 33314 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-01-25 |
| Reg. Agent Change | 2015-06-29 |
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-25 |
| ANNUAL REPORT | 2012-02-14 |
| Reg. Agent Change | 2011-09-14 |
| Domestic Profit | 2011-03-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
