| Entity Name: | FLORIDA CHIROPRACTIC & SPORTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Oct 2014 (10 years ago) |
| Document Number: | P14000087664 |
| FEI/EIN Number | 47-2231229 |
| Address: | 21150 Biscayne Blvd, Aventura, FL, 33180, US |
| Mail Address: | 21150 Biscayne Blvd, Aventura, FL, 33180, US |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164820692 | 2014-12-16 | 2019-10-04 | 21000 NE 28TH AVE STE 104, AVENTURA, FL, 331801421, US | 21000 NE 28TH AVE STE 104, AVENTURA, FL, 33180, US | |||||||||||||||
|
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| Phone | +1 305-935-9599 |
| Fax | 3059325612 |
Authorized person
| Name | DR. MATTHEW I COOPER |
| Role | AO/OWNER/PROVIDER |
| Phone | 3059359599 |
Taxonomy
| Taxonomy Code | 111NS0005X - Sports Physician Chiropractor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FLORIDA HEALTHCARE LAW FIRM | Agent | 909 S.E. 5TH AVENUE, DELRAY BEACH, FL, 33483 |
| Name | Role |
|---|---|
| USA SPORTS MEDICINE PARENT COMPANY LLC | Auth |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000068643 | USA SPORTS MEDICINE | ACTIVE | 2024-05-31 | 2029-12-31 | No data | 21150 BISCAYNE BLVD, SUITE 406, AVENTURA, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-08 | 21150 Biscayne Blvd, suite 406, Aventura, FL 33180 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-17 | 21150 Biscayne Blvd, suite 406, Aventura, FL 33180 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-06-03 |
| AMENDED ANNUAL REPORT | 2024-05-30 |
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-03-29 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-03-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
