| Entity Name: | JOSEPH FISCHETTI, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Apr 2011 (14 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P11000037451 |
| FEI/EIN Number | 451775425 |
| Address: | 2755 W ATLANTIC BLVD SUITE 103, POMPANO BEACH, FL, 33069, US |
| Mail Address: | 2755 W. Atlantic Blvd, Pompano Beach, FL, 33069, US |
| ZIP code: | 33069 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669864005 | 2015-02-23 | 2015-02-23 | 2755 W ATLANTIC BLVD, SUITE 103, POMPANO BEACH, FL, 330692625, US | 2755 W ATLANTIC BLVD, SUITE 103, POMPANO BEACH, FL, 330692625, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 754-220-8781 |
| Fax | 7542208782 |
Authorized person
| Name | DR. JOSEPH FISCHETTI |
| Role | CHIROPRACTIC PHYSICIAN |
| Phone | 7542208781 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10272 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2081P0004X - Spinal Cord Injury Medicine Physician |
| License Number | ME83875 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 008CE |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FISCHETTI JOSEPH | Agent | 2755 W. Atlantic Blvd, Pompano Beach, FL, 33069 |
| Name | Role | Address |
|---|---|---|
| FISCHETTI JOSEPH | President | 2755 W. Atlantic Blvd, Pompano Beach, FL, 33069 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000095369 | THE PEOPLE'S DOCTOR | ACTIVE | 2016-09-01 | 2026-12-31 | No data | 55 FAIRLEA RD, HONEOYE FALLS, NY, 14472 |
| G12000114466 | NON-INVASIVE SPINE AND PAIN CENTER (NSPC) | EXPIRED | 2012-11-29 | 2017-12-31 | No data | 12030 W. SAMPLE ROAD, CORAL SPRINGS, FL, 33065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-31 | 2755 W. Atlantic Blvd, 103, Pompano Beach, FL 33069 | No data |
| CHANGE OF MAILING ADDRESS | 2015-01-10 | 2755 W ATLANTIC BLVD SUITE 103, POMPANO BEACH, FL 33069 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-08-29 | 2755 W ATLANTIC BLVD SUITE 103, POMPANO BEACH, FL 33069 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-03-03 |
| ANNUAL REPORT | 2019-01-04 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-31 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-01-10 |
| ANNUAL REPORT | 2014-03-19 |
| ANNUAL REPORT | 2013-01-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
