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PALM COAST CHIROPRACTIC CENTER JTA, INC

Company Details

Entity Name: PALM COAST CHIROPRACTIC CENTER JTA, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Aug 2013 (12 years ago)
Last Event: AMENDMENT
Event Date Filed: 10 Jun 2014 (11 years ago)
Document Number: P13000064358
FEI/EIN Number 20-2879652
Address: 4721 E MOODY BLVD, STE 101, BUNNELL, FL, 32110, US
Mail Address: 4721 E MOODY BLVD, STE 101, BUNNELL, FL, 32110, US
ZIP code: 32110
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679673396 2006-09-23 2014-06-06 4721 E MOODY BLVD, SUITE 101, BUNNELL, FL, 321107706, US 4721 E MOODY BLVD, SUITE 101, BUNNELL, FL, 321107706, US

Contacts

Phone +1 386-437-7111
Fax 3864377790

Authorized person

Name DR. JENNIFER L THORNTON
Role PRESIDENT
Phone 3864377111

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
License Number CH8483
State FL
Is Primary Yes

Agent

Name Role Address
THORNTON JENNIFER L Agent 4721 E MOODY BLVD, BUNNELL, FL, 32110

President

Name Role Address
THORNTON JENNIFER LDR. President 4721 E MOODY BLVD STE 101, BUNNELL, FL, 32110

Events

Event Type Filed Date Value Description
AMENDMENT 2014-06-10 No data No data
CHANGE OF PRINCIPAL ADDRESS 2014-06-10 4721 E MOODY BLVD, STE 101, BUNNELL, FL 32110 No data
CHANGE OF MAILING ADDRESS 2014-06-10 4721 E MOODY BLVD, STE 101, BUNNELL, FL 32110 No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-21 4721 E MOODY BLVD, STE 101, BUNNELL, FL 32110 No data

Documents

Name Date
ANNUAL REPORT 2024-01-09
ANNUAL REPORT 2023-01-06
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-06-08
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-01-11

Date of last update: 03 Feb 2025

Sources: Florida Department of State