| Entity Name: | CHIROPRACTIC SPECIALIST OF BREVARD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Dec 2011 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Mar 2022 (3 years ago) |
| Document Number: | P11000108489 |
| FEI/EIN Number | 45-4164530 |
| Address: | 1368 SILVER LAKE DRIVE, MELBOURNE, FL, 32940, US |
| Mail Address: | 1368 SILVER LAKE DRIVE, MELBOURNE, FL, 32940, US |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104191428 | 2012-03-20 | 2012-03-20 | 1368 SILVER LAKE DR, MELBOURNE, FL, 329401952, US | 130 INTERLACHEN RD, SUITE D, MELBOURNE, FL, 329401994, US | |||||||||||||
|
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| Phone | +1 321-622-6778 |
Authorized person
| Name | DR. AARON M GRAY |
| Role | PRESIDENT |
| Phone | 3216226778 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRAY AARON M | Agent | 1368 SILVER LAKE DRIVE, MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| GRAY AARON M | Director | 1368 SILVER LAKE DRIVE, MELBOURNE, FL, 32940 |
| GRAY PATRICIA G | Director | 1368 SILVER LAKE DRIVE, MELBOURNE, FL, 32940 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000019046 | SUNTREE CHIROPRATIC | ACTIVE | 2012-02-28 | 2027-12-31 | No data | 1368 SILVER LAKE DRIVE, MELBOURNE, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-03-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-05 | 1368 SILVER LAKE DRIVE, MELBOURNE, FL 32940 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-05 | 1368 SILVER LAKE DRIVE, MELBOURNE, FL 32940 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-03-05 | GRAY, AARON M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-05 | 1368 SILVER LAKE DRIVE, MELBOURNE, FL 32940 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-03-03 |
| REINSTATEMENT | 2022-03-05 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-02-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
