| Entity Name: | BRADBERRY CHIROPRACTIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Oct 2012 (12 years ago) |
| Date of dissolution: | 23 Jan 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Jan 2014 (11 years ago) |
| Document Number: | P12000088980 |
| FEI/EIN Number | 46-1329598 |
| Address: | 11566 DECLARATION DRIVE, TAMPA, FL, 33635 |
| Mail Address: | 11566 DECLARATION DRIVE, TAMPA, FL, 33635 |
| ZIP code: | 33635 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821342387 | 2012-11-06 | 2012-11-06 | 11566 DECLARATION DR, TAMPA, FL, 336356341, US | 405 SEMINOLE BLVD, LARGO, FL, 337703620, US | |||||||||||||||||||||
|
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| Phone | +1 727-459-6672 |
| Phone | +1 727-581-2774 |
| Fax | 7275813199 |
Authorized person
| Name | DR. DOUGLAS WAYNE BRADBERRY |
| Role | PRESIDENT |
| Phone | 7274596672 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH 10777 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| BRADBERRY DOUGLAS W | Director | 11566 DECLARATION DRIVE, TAMPA, FL, 33635 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-01-23 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-01-23 |
| ANNUAL REPORT | 2013-04-11 |
| Domestic Profit | 2012-10-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
