| Entity Name: | MADRID CHIROPRACTIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Dec 2012 (12 years ago) |
| Date of dissolution: | 17 Nov 2014 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Nov 2014 (10 years ago) |
| Document Number: | P12000101266 |
| FEI/EIN Number | 46-1566260 |
| Address: | 5830 Midnight Pass Road, SARASOTA, FL, 34242, US |
| Mail Address: | 5830 MIDNIGHT PASS ROAD 304, SARASOTA, FL, 34242, US |
| ZIP code: | 34242 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760728208 | 2013-01-02 | 2013-05-15 | 5830 MIDNIGHT PASS RD UNIT 304, SARASOTA, FL, 342422108, US | 2030 BEE RIDGE RD, SARASOTA, FL, 342396108, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 941-587-8684 |
| Phone | +1 941-954-3700 |
| Fax | 9419233882 |
Authorized person
| Name | DR. THOMAS Q JACOBS |
| Role | DIRECTOR |
| Phone | 9415878684 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10751 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME 57417 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT 8112 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JACOBS THOMAS Q | Agent | 5830 MIDNIGHT PASS ROAD 304, SARASOTA, FL, 34242 |
| Name | Role | Address |
|---|---|---|
| JACOBS THOMAS QD.C. | Director | 5830 MIDNIGHT PASS ROAD 304, SARASOTA, FL, 34242 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-11-17 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-05 | 5830 Midnight Pass Road, UNIT 304, SARASOTA, FL 34242 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-30 | 5830 Midnight Pass Road, UNIT 304, SARASOTA, FL 34242 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-30 | 5830 MIDNIGHT PASS ROAD 304, SARASOTA, FL 34242 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2014-11-17 |
| ANNUAL REPORT | 2014-02-05 |
| ANNUAL REPORT | 2013-04-30 |
| Domestic Profit | 2012-12-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
