| Entity Name: | GETBEHEAD ENTERPRISES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 28 May 2015 (10 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P15000047572 |
| FEI/EIN Number | 47-4142028 |
| Address: | 1907 NORTH ANDREWS AVE, FORT LAUDERDALE, FL 33311 |
| Mail Address: | 1907 NORTH ANDREWS AVE, FORT LAUDERDALE, FL 33311 |
| ZIP code: | 33311 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902289895 | 2015-07-09 | 2015-07-09 | 1907 N ANDREWS AVE, WILTON MANORS, FL, 333113914, US | 1907 N ANDREWS AVE, WILTON MANORS, FL, 333113914, US | |||||||||||||||||||||||||||||
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| Phone | +1 954-567-1924 |
Authorized person
| Name | DR. JEFFREY GETBEHEAD |
| Role | PRESIDENT |
| Phone | 5044730636 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | 9951 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002999900 |
| State | FL |
| Issuer | MEDICARE # |
| Number | DN380Z |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SIERRA, RAFAEL E | Agent | 1907 NORTH ANDREWS AVE, FORT LAUDERDALE, FL 33311 |
| Name | Role | Address |
|---|---|---|
| SIERRA, RAFAEL E | President | 1907 NORTH ANDREWS AVE, FORT LAUDERDALE, FL 33311 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000063662 | POWERSOURCE CHIROPRACTIC | EXPIRED | 2015-06-19 | 2020-12-31 | No data | 1907 NORTH ANDREWS AVENUE, FORT LAUDERDALE, FL, 33311 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-25 | SIERRA, RAFAEL E | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-01-25 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-02-22 |
| ANNUAL REPORT | 2016-03-15 |
| Domestic Profit | 2015-05-28 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
