| Entity Name: | DEER CREEK WELLNESS CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Oct 2013 (11 years ago) |
| Date of dissolution: | 30 Apr 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Apr 2022 (3 years ago) |
| Document Number: | P13000084629 |
| FEI/EIN Number | 46-3949615 |
| Address: | 107 N. POWERLINE ROAD, DEERFIELD BEACH, FL, 33442 |
| Mail Address: | 107 N. POWERLINE ROAD, DEERFIELD BEACH, FL, 33442 |
| ZIP code: | 33442 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538581624 | 2014-01-09 | 2014-01-09 | 107 N POWERLINE RD, DEERFIELD BEACH, FL, 334428037, US | 107 N POWERLINE RD, DEERFIELD BEACH, FL, 334428037, US | |||||||||||||||||||||||||||||
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| Phone | +1 954-428-0225 |
Authorized person
| Name | DR. JAMES EWING |
| Role | CHIROPRACTOR |
| Phone | 9544280225 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH 7967 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 53892 |
| State | FL |
| Issuer | MEDICAID |
| Number | 382078500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| EWING JAMES E | Agent | 107 N. POWERLINE ROAD, DEERFIELD BEACH, FL, 33442 |
| Name | Role | Address |
|---|---|---|
| EWING JAMES E | President | 107 N. POWERLINE ROAD, DEERFIELD BEACH, FL, 33442 |
| Name | Role | Address |
|---|---|---|
| EWING JAMES E | Director | 107 N. POWERLINE ROAD, DEERFIELD BEACH, FL, 33442 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-30 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-30 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-01-31 |
| ANNUAL REPORT | 2016-02-04 |
| ANNUAL REPORT | 2015-03-01 |
| ANNUAL REPORT | 2014-01-23 |
| Domestic Profit | 2013-10-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
