| Entity Name: | REGATTA CHIROPRACTIC AND LASER CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 May 2012 (13 years ago) |
| Document Number: | P12000046142 |
| FEI/EIN Number | 45-5377768 |
| Address: | 72 Bahia Court, Inlet Beach, FL 32461 |
| Mail Address: | 72 Bahia Court, Inlet Beach, FL 32461 |
| ZIP code: | 32461 |
| County: | Walton |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083962526 | 2012-08-15 | 2012-11-26 | 5953 COMMERCE RD, MILTON, FL, 325832320, US | 4481 LEGENDARY DR, SUITE 150, DESTIN, FL, 325415381, US | |||||||||||||||||||||||
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| Phone | +1 850-424-7856 |
Authorized person
| Name | DR. SHAWNA HOGAN |
| Role | CHIROPRACTOR |
| Phone | 8507486102 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH 8365 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UNITED HEALTHCARE |
| Number | 2631473 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HOGAN, CHRISTOPHER | Agent | 72 Bahia Ct, Inlet Beach, FL 32461 |
| Name | Role | Address |
|---|---|---|
| Hogan, Shawna | President | 72 Bahia Court, Inlet Beach, FL 32461 |
| Name | Role | Address |
|---|---|---|
| Hogan, Chris | Vice President | 72 Bahia Court, Inlet Beach, FL 32461 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000038343 | ALIGN 30A CHIROPRACTIC & WELLNESS | ACTIVE | 2023-03-23 | 2028-12-31 | No data | 26 ORIGINS MAIN STREET STE 202, INLET BCH, FL, 32461 |
| G22000139675 | OYSTER COTTAGE CHIROPRACTIC/ DR SHAWNA HOGAN | ACTIVE | 2022-11-09 | 2027-12-31 | No data | 155 DEVLIEG AVE, SANTA ROSA BEACH, FL, 32459--564 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-21 | 72 Bahia Ct, Inlet Beach, FL 32461 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-29 | 72 Bahia Court, Inlet Beach, FL 32461 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-29 | 72 Bahia Court, Inlet Beach, FL 32461 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-04-28 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-23 |
| ANNUAL REPORT | 2016-04-24 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
