| Entity Name: | EDGEWATER CHIROPRACTIC CLINIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Aug 2013 (11 years ago) |
| Document Number: | P13000067437 |
| FEI/EIN Number | 46-3446599 |
| Address: | 201 S. Ridgewood Ave, EDGEWATER, FL, 32132, US |
| Mail Address: | 201 S Ridgewood Ave, EDGEWATER, FL, 32132, US |
| ZIP code: | 32132 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821421363 | 2013-08-20 | 2018-04-02 | 201 S RIDGEWOOD AVE STE 11, EDGEWATER, FL, 321321935, US | 201 S RIDGEWOOD AVE STE 11, EDGEWATER, FL, 321321935, US | |||||||||||||||||
|
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| Phone | +1 386-423-7575 |
Authorized person
| Name | CARLY KRISTEEN MECKLE |
| Role | CHIROPRACTOR |
| Phone | 3864237575 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH10882 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MECKLE CARLY K | Agent | 201 S. Ridgewood Ave, EDGEWATER, FL, 32132 |
| Name | Role | Address |
|---|---|---|
| MECKLE CARLY K | President | 201 S. Ridgewood ave, EDGEWATER, FL, 32132 |
| Name | Role | Address |
|---|---|---|
| MECKLE CARLY K | Director | 201 S. Ridgewood ave, EDGEWATER, FL, 32132 |
| Name | Role | Address |
|---|---|---|
| Jason Scheibel R | Vice President | 201 S Ridgewood Ave, EDGEWATER, FL, 32132 |
| Name | Role | Address |
|---|---|---|
| Meckle Jenny | Officer | 600 S 10 th St, Custer, SD, 57730 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-07-11 | 201 S. Ridgewood Ave, Suite 11, EDGEWATER, FL 32132 | No data |
| CHANGE OF MAILING ADDRESS | 2014-07-11 | 201 S. Ridgewood Ave, Suite 11, EDGEWATER, FL 32132 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-07-11 | 201 S. Ridgewood Ave, Suite 11, EDGEWATER, FL 32132 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-03-07 |
| ANNUAL REPORT | 2016-04-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
